Behavioral
Sheppard Pratt Physicians PA
Sheppard Pratt Physicians PA was paid $5.72M by Medicaid between Feb 2019 and Dec 2024, across 14 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 56% of everything it billed.
33Billing provider infoSHEPPARD PRATT PHYSICIANS PA
BALTIMORE, MD 21204
BALTIMORE, MD 21204
33aNPI1497900021assigned 11/24/2008
33bProvider typeMental Health Counselor
28Total paid$5.72M
24GClaims64,620
24DCodes billed14
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Maryland
Rank by total paid#22 of 400
Median peer was paid$112K
This provider vs. median51×
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 | |
|---|---|---|---|
| 2019 | 477 | $49K | |
| 2020 | 4,615 | $402K | |
| 2021 | 11,320 | $915K | |
| 2022 | 13,254 | $1.20M | |
| 2023 | 19,764 | $1.81M | |
| 2024incomplete | 15,190 | $1.34M |
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 | 56% | 43,676 | 14,425 | $3.22M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 25% | 9,982 | 9,860 | $1.40M |
| 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 | 6.7% | 3,971 | 3,428 | $380K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.5% | 1,901 | 1,067 | $202K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.9% | 1,154 | 1,143 | $167K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 820 | 801 | $116K |
| 99223 | Prolong inpt eval add15 m | <1% | 291 | 273 | $55K |
| 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% | 788 | 757 | $54K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 368 | 360 | $40K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 992 | 400 | $35K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 360 | 359 | $27K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 281 | 148 | $20K |
2 more codes
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 officialKATZ, BONNIE (VP BUSINESS DEVELOPMENT AND SUP OPS)
| Provider | Location | Paid |
|---|---|---|
| Behavioral Health Partners of Frederick, INC | Frederick, MD | $42.65M |
| Sheppard Pratt Physicians, P.A. | Baltimore, MD | $17.22M |
| Behavioral Health Partners of Frederick, INC. | Frederick, MD | $1.79M |
| Sheppard Pratt Health System, INC. | Reisterstown, MD | $1.66M |
| Sheppard Pratt Health System, INC. | Hunt Valley, MD | $1.16M |
| Sheppard Pratt Health System, INC. | Suitland, MD | $536K |
| Sheppard Pratt Health System, INC. | Cumberland, MD | $137K |
| Sheppard Pratt Health System, INC. | Gaithersburg, MD | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.