Hospital
NPI deactivated
Shore Health System, INC
Shore Health System, INC was paid $349K by Medicaid between Jan 2018 and Oct 2021, across 38 billing codes. Its largest line is 99284, emergency room visit (serious) — 57% of everything it billed.
33Billing provider infoSHORE HEALTH SYSTEM, INC
CAMBRIDGE, MD 21613
CAMBRIDGE, MD 21613
33aNPI1194784751assigned 03/22/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$349K
24GClaims20,921
24DCodes billed38
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other General Acute Care Hospital providers in Maryland
Rank by total paid#49 of 69
Median peer was paid$870K
This provider vs. median0.4×
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.
Entity ProliferationAuthorized official KOZEL, KENNETH controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,581 | $53K | |
| 2019 | 4,659 | $61K | |
| 2020 | 4,179 | $97K | |
| 2021 | 5,502 | $138K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 57% | 2,274 | 1,894 | $200K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 26% | 709 | 637 | $92K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.5% | 988 | 849 | $33K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 1.8% | 827 | 621 | $6K |
| 71046 | Radiologic examination, chest; 2 views | 1.3% | 1,067 | 958 | $5K |
| 80053 | Comprehensive metabolic panel | <1% | 3,149 | 2,401 | $2K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 433 | 401 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,451 | 2,560 | $2K |
| 84484 | <1% | 1,193 | 969 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 54 | 42 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 932 | 802 | $1K |
| 83690 | <1% | 202 | 180 | $697.59 |
26 more codes
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 239 | $522.97 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 109 | $419.07 |
| 81001 | <1% | 1,126 | $293.18 | |
| 85610 | <1% | 291 | $219.20 | |
| 83735 | <1% | 1,356 | $159.28 | |
| 82962 | <1% | 43 | $142.45 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 113 | $115.31 |
| 83880 | <1% | 161 | $111.22 | |
| 82550 | <1% | 219 | $110.48 | |
| 85730 | <1% | 205 | $88.70 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 15 | $49.95 |
| 81003 | <1% | 64 | $23.96 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 566 | $14.76 |
| 82948 | <1% | 79 | $11.46 | |
| 80050 | General health panel | <1% | 15 | $11.08 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 65 | $1.17 |
| 71045 | Radiologic examination, chest; single view | 0% | 204 | $0.00 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 0% | 63 | $0.00 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 35 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 41 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 12 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 13 | $0.00 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 371 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 29 | $0.00 |
| 80061 | Lipid panel | 0% | 194 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 14 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialKOZEL, KENNETH (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Shore Health System, INC | Easton, MD | $5.28M |
| Shore Health System, INC. | Easton, MD | $1.17M |
| Shore Health System INC | Easton, MD | $1.07M |
| Chester River Hospital Center | Chestertown, MD | $627K |
| Shore Health System, INC | Easton, MD | $392K |
| Chester River Hospital Center | Chestertown, MD | $137K |
| Shore Health System, INC | Cambridge, MD | $115K |
| Shore Health System, INC | Easton, MD | $57K |
| Shore Health System INC | Denton, MD | $40K |
| Um Shore Regional Health, INC | Chestertown, MD | $21K |
| Shore Health System, INC. | Easton, MD | $7K |
| Shore Health System, INC | Easton, MD | $3K |
| Shore Health System, INC | Queenstown, MD | $715.74 |
| Shore Health System, INC. | Easton, MD | $-0.04 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.