Grace Medical Center, INC.
Grace Medical Center, INC. was paid $1.49M by Medicaid between Jan 2018 and Feb 2022, across 17 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 29% of everything it billed.
BALTIMORE, MD 21223
Next to other General Acute Care Hospital providers in Maryland
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,921 | $737K | |
| 2019 | 7,432 | $482K | |
| 2020 | 2,864 | $160K | |
| 2021 | 2,552 | $89K | |
| 2022 | 418 | $22K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 29% | 4,445 | 1,572 | $433K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 6,578 | 6,022 | $300K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 3,945 | 1,618 | $270K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.3% | 2,447 | 2,100 | $139K |
| 99223 | Prolong inpt eval add15 m | 7.6% | 597 | 567 | $113K |
| 99239 | Hospital discharge day management, more than 30 minutes | 7.1% | 1,023 | 987 | $106K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.7% | 1,501 | 549 | $55K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.8% | 194 | 181 | $26K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 136 | 105 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 276 | 266 | $6K |
| 99442 | <1% | 589 | 419 | $6K | |
| 99443 | <1% | 292 | 197 | $6K |
5 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 60 | $4K |
| 99221 | <1% | 30 | $3K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 34 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 12 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | $223.14 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Grace Medical Center, INC. | Randallstown, MD | $9.78M |
| Grace Medical Center, INC. | Randallstown, MD | $7.20M |
| Grace Medical Center, INC. | Baltimore, MD | $4.24M |
| Grace Medical Center, INC. | Randallstown, MD | $4.18M |
| Grace Medical Center, INC. | Baltimore, MD | $2.26M |
| Grace Medical Center, INC. | Baltimore, MD | $1.74M |
| Grace Medical Center, INC. | Baltimore, MD | $954K |
| Grace Medical Center, INC. | Baltimore, MD | $410K |
| Grace Medical Center, INC. | Baltimore, MD | $69K |
| Grace Medical Center, INC. | Baltimore, MD | $23K |
| Grace Medical Center, INC. | Baltimore, MD | $3K |
| Grace Medical Center, INC. | Randallstown, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.