Clinic
Optimum Medical Group LLC
Optimum Medical Group LLC was paid $144K by Medicaid between Dec 2021 and Aug 2024, across 5 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 46% of everything it billed.
33Billing provider infoOPTIMUM MEDICAL GROUP LLC
BALTIMORE, MD 21213
BALTIMORE, MD 21213
33aNPI1326655283assigned 09/24/2020
33bProvider typePrimary Care Clinic/Center
28Total paid$144K
24GClaims2,138
24DCodes billed5
24AFirst – last monthDec 2021 – Aug 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Maryland
Rank by total paid#66 of 112
Median peer was paid$200K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2021 | 14 | $3K | |
| 2022 | 1,184 | $90K | |
| 2023 | 724 | $35K | |
| 2024incomplete | 216 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 46% | 738 | 530 | $66K |
| 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 | 31% | 724 | 644 | $45K |
| 99205 | Prolong outpt/office vis | 14% | 106 | 100 | $20K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 9.4% | 555 | 419 | $14K |
| 86328 | <1% | 15 | 14 | $587.99 |
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 officialGABRIEL, BLESSING (PROVIDER)
| Provider | Location | Paid |
|---|---|---|
| Consortium Health & Rehabilitation Center | Baltimore, MD | $3.79M |
| Optimum Medical Group | Baltimore, MD | $268K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.