Physician
Charm City Healthcare, L.L.C.
Charm City Healthcare, L.L.C. was paid $281K by Medicaid between May 2018 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoCHARM CITY HEALTHCARE, L.L.C.
BALTIMORE, MD 21221
BALTIMORE, MD 21221
33aNPI1538345046assigned 01/15/2008
33bProvider typeInternal Medicine Physician
28Total paid$281K
24GClaims12,559
24DCodes billed21
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Maryland
Rank by total paid#130 of 501
Median peer was paid$77K
This provider vs. median3.7×
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 | 71 | $4K | |
| 2019 | 62 | $2K | |
| 2020 | 486 | $31K | |
| 2021 | 625 | $28K | |
| 2022 | 1,680 | $39K | |
| 2023 | 4,859 | $82K | |
| 2024incomplete | 4,776 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 62% | 3,356 | 2,880 | $175K |
| 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 | 28% | 1,344 | 1,238 | $78K |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 4.6% | 2,471 | 2,196 | $13K |
| 96160 | 1.5% | 529 | 479 | $4K | |
| 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 | 1.1% | 17 | 15 | $3K |
| 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% | 251 | 236 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 513 | 477 | $2K |
| 94760 | <1% | 444 | 367 | $1K | |
| 90674 | <1% | 31 | 29 | $697.48 | |
| 98960 | <1% | 1,081 | 970 | $426.53 | |
| 3074F | <1% | 774 | 712 | $216.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 28 | 28 | $191.51 |
9 more codes
| 3075F | <1% | 276 | $155.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $112.94 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 281 | $0.00 |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 0% | 16 | $0.00 |
| 3079F | 0% | 48 | $0.00 | |
| 3017F | 0% | 29 | $0.00 | |
| 3078F | 0% | 967 | $0.00 | |
| 1159F | 0% | 45 | $0.00 | |
| 1160F | 0% | 46 | $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 officialKHETERPAL, PANKAJ (OWNER)