Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SINAI HOSPITAL OF BALTIMORE INC

NPI: 1255359782 · BALTIMORE, MD 21215 · General Acute Care Hospital · NPI assigned 07/17/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official EFIRD, CHARLES controls 20+ related entities in our dataset. Read more

$6.45M
Total Medicaid Paid
148,665
Total Claims
74,039
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEFIRD, CHARLES (DIRECTOR)
Parent OrganizationSINAI HOSPITAL OF BALTIMORE INC
NPI Enumeration Date07/17/2006

Related Entities

Other providers sharing the same authorized official: EFIRD, CHARLES

ProviderCityStateTotal Paid
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $1.64M
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $1.44M
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $1.20M
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $1.20M
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $1.15M
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $1.00M
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $870K
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $854K
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $751K
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $745K
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $673K
SINAI HOSPITAL OF BALTIMORE, INC BALTIMORE MD $621K
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $555K
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $545K
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $421K
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $407K
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $399K
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $368K
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $163K
SINAI HOSPITAL OF BALTIMORE INC BALTIMORE MD $109K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,037 $908K
2019 11,920 $553K
2020 23,741 $762K
2021 22,790 $909K
2022 29,169 $995K
2023 28,934 $1.23M
2024 21,074 $1.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 70,013 18,392 $2.73M
99233 Prolong inpt eval add15 m 17,113 5,628 $802K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,876 14,622 $789K
99223 Prolong inpt eval add15 m 5,198 4,693 $507K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,182 7,679 $479K
99220 3,133 2,767 $272K
99239 Hospital discharge day management, more than 30 minutes 6,425 5,787 $248K
99222 Initial hospital care, per day, moderate complexity 3,518 3,109 $220K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,234 1,867 $59K
99221 1,210 1,091 $57K
99217 1,551 1,375 $48K
99238 Hospital discharge day management, 30 minutes or less 1,064 979 $30K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 100 94 $22K
99254 241 166 $21K
99219 561 473 $18K
99252 440 339 $17K
S9110 Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month 324 278 $15K
99225 703 487 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 168 156 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 130 120 $10K
99218 176 145 $10K
90662 432 393 $9K
99226 268 214 $8K
99253 105 85 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 369 206 $7K
0012A 132 127 $5K
0011A 140 128 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 105 100 $4K
90686 214 189 $3K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 380 347 $3K
99385 31 26 $3K
96127 290 273 $3K
99442 143 130 $2K
G0008 Administration of influenza virus vaccine 704 633 $2K
90682 31 30 $2K
99386 14 13 $2K
99441 176 168 $2K
82962 279 255 $1K
93000 72 69 $1K
99215 Prolong outpt/office vis 12 12 $688.65
0064A 12 12 $480.00
99453 320 307 $243.84
90656 13 13 $197.80
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 22 22 $118.47
91301 17 16 $0.00
G0009 Administration of pneumococcal vaccine 12 12 $0.00
91306 12 12 $0.00