Behavioral
Frederick Health Medical Group LLC
Frederick Health Medical Group LLC was paid $688K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 63% of everything it billed.
33Billing provider infoFREDERICK HEALTH MEDICAL GROUP LLC
FREDERICK, MD 21701
FREDERICK, MD 21701
33aNPI1457793424assigned 07/19/2013
33bProvider typeClinical Social Worker
28Total paid$688K
24GClaims10,096
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Maryland
Rank by total paid#35 of 580
Median peer was paid$40K
This provider vs. median17×
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 | 3,265 | $267K | |
| 2019 | 2,875 | $227K | |
| 2020 | 861 | $52K | |
| 2021 | 1,715 | $95K | |
| 2022 | 638 | $42K | |
| 2023 | 180 | $3K | |
| 2024incomplete | 562 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 63% | 7,031 | 2,704 | $433K |
| 99222 | Initial hospital care, per day, moderate complexity | 26% | 1,626 | 1,456 | $180K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.1% | 211 | 195 | $21K |
| 99223 | Prolong inpt eval add15 m | 2.9% | 164 | 136 | $20K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.1% | 237 | 231 | $15K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.4% | 95 | 52 | $10K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 125 | 75 | $5K |
| 99221 | <1% | 47 | 41 | $3K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 41 | 19 | $933.16 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 48 | 42 | $777.67 |
| 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 | <1% | 241 | 188 | $268.83 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 27 | 26 | $94.62 |
1 more codes
| 90834 | Psychotherapy session, about 45 minutes | 0% | 203 | $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 officialBOGGS, SHELBY (AVP)
Parent organizationFREDERICK HEALTH MEDICAL GROUP LLC
| Provider | Location | Paid |
|---|---|---|
| Frederick Health Medical Group LLC | Frederick, MD | $1.92M |
| Frederick Health Hospital INC | Frederick, MD | $1.79M |
| Frederick Health Hospital INC | Frederick, MD | $204K |
| Frederick Health Medical Group LLC | Frederick, MD | $81K |
| Frederick Health Medical Group LLC | Frederick, MD | $57K |
| Frederick Health Medical Group LLC | Brunswick, MD | $32K |
| Frederick Health Hospital INC | Frederick, MD | $6K |
| Frederick Health Medical Group LLC | Ijamsville, MD | $2K |
| Frederick Health Hospital INC | Frederick, MD | $0.00 |
| Frederick Health Hospital INC | Frederick, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.