Behavioral
Carroll Health Group, LLC
Carroll Health Group, LLC was paid $2.38M by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoCARROLL HEALTH GROUP, LLC
WESTMINSTER, MD 21157
WESTMINSTER, MD 21157
33aNPI1437473550assigned 03/18/2010
33bProvider typeClinical Social Worker
28Total paid$2.38M
24GClaims59,956
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Social Worker providers in Maryland
Rank by total paid#11 of 580
Median peer was paid$40K
This provider vs. median60×
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 | |
|---|---|---|---|
| 2018 | 10,566 | $191K | |
| 2019 | 5,209 | $66K | |
| 2020 | 10,287 | $419K | |
| 2021 | 10,092 | $523K | |
| 2022 | 11,907 | $535K | |
| 2023 | 8,351 | $404K | |
| 2024incomplete | 3,544 | $245K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 60% | 18,452 | 15,861 | $1.44M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 12,663 | 10,008 | $701K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.5% | 13,918 | 11,004 | $60K |
| 93000 | 1.9% | 1,818 | 1,693 | $45K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 436 | 410 | $39K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.6% | 555 | 501 | $39K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 203 | 181 | $14K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 636 | 265 | $9K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 214 | 112 | $8K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 29 | 27 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 645 | 601 | $4K |
| 99221 | <1% | 40 | 39 | $3K |
39 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 96 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 51 | $3K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $2K |
| 90674 | <1% | 96 | $2K | |
| 20610 | <1% | 81 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 39 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 83 | $1K |
| 0011A | <1% | 25 | $1K | |
| 0012A | <1% | 21 | $840.00 | |
| 90686 | <1% | 44 | $832.94 | |
| 0031A | <1% | 17 | $640.00 | |
| 90756 | <1% | 23 | $524.17 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 232 | $510.63 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 33 | $367.00 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $324.65 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $271.76 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 3,041 | $230.77 |
| G0008 | Administration of influenza virus vaccine | <1% | 59 | $122.62 |
| 96127 | <1% | 12 | $56.52 | |
| 82962 | <1% | 14 | $36.54 | |
| 1036F | <1% | 1,786 | $22.88 | |
| 99442 | <1% | 125 | $16.31 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 306 | $0.00 |
| 4004F | 0% | 264 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 571 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 425 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 228 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 82 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 30 | $0.00 |
| 4040F | 0% | 12 | $0.00 | |
| 1101F | 0% | 685 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 687 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 454 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 253 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 270 | $0.00 |
| 99441 | 0% | 25 | $0.00 | |
| 99443 | 0% | 56 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 70 | $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 officialMYERS, MICHAEL (CFO CHC)
| Provider | Location | Paid |
|---|---|---|
| Bridginglife, INC. | Westminster, MD | $22.07M |
| Universal Healthcare Mso, LLC | Bakersfield, CA | $2.67M |
| Carroll Hospital Center, INC. | Westminster, MD | $1.41M |
| Carroll Health Group, LLC | Westminster, MD | $110K |
| Carroll Regional Cancer Center Physicians, LLC | Westminster, MD | $82K |
| Carroll Hospital Center, INC. | Westminster, MD | $923.43 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.