Agency
Optimum Health Systems, INC
Optimum Health Systems, INC was paid $431K by Medicaid between Dec 2020 and Dec 2024, across 2 billing codes. Its largest line is T1016, Case management, each 15 minutes — 97% of everything it billed.
33Billing provider infoOPTIMUM HEALTH SYSTEMS, INC
BALTIMORE, MD 21216
BALTIMORE, MD 21216
33aNPI1295358844assigned 05/18/2020
33bProvider typeCase Management Agency
28Total paid$431K
24GClaims2,708
24DCodes billed2
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Maryland
Rank by total paid#52 of 84
Median peer was paid$568K
This provider vs. median0.8×
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.
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 | |
|---|---|---|---|
| 2020 | 37 | $5K | |
| 2022 | 447 | $63K | |
| 2023 | 587 | $89K | |
| 2024incomplete | 1,637 | $275K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 97% | 2,638 | 766 | $419K |
| H0031 | Mental health assessment, by non-physician | 2.6% | 70 | 66 | $11K |
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 officialOMOTOSHO, JAMES (DIRECTOR (OMHC))
| Provider | Location | Paid |
|---|---|---|
| Avawell, LLC | Edgewood, MD | $333K |
| Avawell, LLC | Edgewood, MD | $285K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.