Concerted Care Group Baltimore, LLC
Concerted Care Group Baltimore, LLC was paid $26.30M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 39% of everything it billed.
BALTIMORE, MD 21218
Next to other Case Management Agency providers in Maryland
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 111,688 | $4.39M | |
| 2019 | 105,616 | $4.53M | |
| 2020 | 78,651 | $3.94M | |
| 2021 | 73,938 | $3.72M | |
| 2022 | 58,700 | $3.34M | |
| 2023 | 53,955 | $3.41M | |
| 2024incomplete | 39,006 | $2.97M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 39% | 138,196 | 33,204 | $10.25M |
| W1761 | 17% | 37,706 | 37,457 | $4.47M | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 10% | 41,307 | 27,162 | $2.63M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 7.7% | 44,036 | 7,391 | $2.03M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 6.8% | 125,097 | 4,890 | $1.80M |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 5.9% | 24,134 | 5,990 | $1.55M |
| 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 | 3.9% | 8,394 | 7,760 | $1.02M |
| H0001 | Alcohol and/or drug assessment | 2.8% | 4,299 | 4,212 | $731K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | 2.2% | 69,042 | 3,038 | $582K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 5,132 | 4,816 | $379K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 1.3% | 1,507 | 1,467 | $352K |
| J0573 | Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine | <1% | 14,539 | 604 | $196K |
11 more codes
| W1760 | <1% | 1,216 | $134K | |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | <1% | 5,047 | $67K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 450 | $62K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | <1% | 554 | $16K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 134 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 111 | $5K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code | <1% | 294 | $4K |
| H0024 | Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) | <1% | 130 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 77 | $2K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | <1% | 126 | $658.10 |
| 90889 | 0% | 26 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Concerted Care Group Brooklyn LLC | Baltimore, MD | $17.09M |
| Concerted Care Group Frederick LLC | Frederick, MD | $7.36M |
| Concerted Care Group Baltimore Substance Use Services | Baltimore, MD | $4.37M |
| Concerted Care Group Brooklyn | Baltimore, MD | $3.39M |
| Harwood Behavioral Health II LLC | Baltimore, MD | $2.92M |
| Concerted Care Group Frederick LLC | Frederick, MD | $1.88M |
| Harwood Behavioral Health II LLC | Baltimore, MD | $1.77M |
| Harwood Behavioral Health II LLC | Baltimore, MD | $1.43M |
| Harwood Behavioral Health II LLC | Frederick, MD | $660K |
| Harwood Behavioral Health II LLC | Baltimore, MD | $641K |
| Concerted Care Group Elkton LLC | Elkton, MD | $283K |
| Concerted Care Group Elkton LLC | Elkton, MD | $257K |
| Concerted Care Group Cumberland LLC | Cumberland, MD | $80K |
| Concerted Care Group Hagerstown, LLC | Hagerstown, MD | $67K |
| Concerted Care Group Cumberland LLC | Cumberland, MD | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.