OPTIMUM MEDICAL GROUP LLC
NPI: 1326655283
· BALTIMORE, MD 21213
· Primary Care Clinic/Center
· NPI assigned 09/24/2020
$144K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: GABRIEL, BLESSING
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
14 |
$3K |
| 2022 |
1,184 |
$90K |
| 2023 |
724 |
$35K |
| 2024 |
216 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99215 |
Prolong outpt/office vis |
738 |
530 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
724 |
644 |
$45K |
| 99205 |
Prolong outpt/office vis |
106 |
100 |
$20K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
555 |
419 |
$14K |
| 86328 |
|
15 |
14 |
$587.99 |