Physician
Sheppard Pratt Physicians, P.A.
Sheppard Pratt Physicians, P.A. was paid $17.22M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 77% of everything it billed.
33Billing provider infoSHEPPARD PRATT PHYSICIANS, P.A.
BALTIMORE, MD 21204
BALTIMORE, MD 21204
33aNPI1518990712assigned 07/09/2006
33bProvider typePsychiatry Physician
28Total paid$17.22M
24GClaims295,710
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychiatry Physician providers in Maryland
Rank by total paid#1 of 229
Median peer was paid$82K
This provider vs. median209×
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 | 35,303 | $2.33M | |
| 2019 | 36,685 | $2.16M | |
| 2020 | 45,305 | $2.42M | |
| 2021 | 41,185 | $2.14M | |
| 2022 | 47,366 | $2.54M | |
| 2023 | 45,457 | $2.77M | |
| 2024incomplete | 44,409 | $2.85M |
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 | 77% | 221,977 | 50,574 | $13.27M |
| 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 | 4.6% | 14,394 | 12,080 | $786K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 11,840 | 10,461 | $602K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.2% | 6,849 | 3,049 | $558K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.7% | 6,416 | 6,060 | $468K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.2% | 3,975 | 3,784 | $374K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.7% | 3,543 | 3,362 | $289K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.6% | 4,205 | 4,112 | $272K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,939 | 1,408 | $111K |
| 99223 | Prolong inpt eval add15 m | <1% | 829 | 804 | $99K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 7,724 | 3,787 | $82K |
| 90836 | <1% | 543 | 342 | $72K |
17 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,909 | $54K |
| 90870 | <1% | 1,469 | $51K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 773 | $41K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 749 | $23K |
| 99284 | Emergency room visit (serious) | <1% | 120 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,313 | $14K |
| 90837 | Psychotherapy session, about an hour | <1% | 850 | $14K |
| 99442 | <1% | 379 | $7K | |
| 99443 | <1% | 146 | $6K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 165 | $4K |
| 99221 | <1% | 14 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 391 | $983.49 |
| 99334 | <1% | 25 | $938.46 | |
| 98966 | <1% | 132 | $278.64 | |
| 99335 | <1% | 14 | $190.97 | |
| 99347 | <1% | 15 | $167.19 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 12 | $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 officialKATZ, BONNIE (VP CORPORATE BUSINESS DEVELOPMENT)
| Provider | Location | Paid |
|---|---|---|
| Behavioral Health Partners of Frederick, INC | Frederick, MD | $42.65M |
| Sheppard Pratt Physicians PA | Baltimore, MD | $5.72M |
| 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.