Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHARM CITY HEALTHCARE, L.L.C.

NPI: 1538345046 · BALTIMORE, MD 21221 · Internal Medicine Physician · NPI assigned 01/15/2008

$281K
Total Medicaid Paid
12,559
Total Claims
11,200
Beneficiaries
21
Codes Billed
2018-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKHETERPAL, PANKAJ (OWNER)
NPI Enumeration Date01/15/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 71 $4K
2019 62 $2K
2020 486 $31K
2021 625 $28K
2022 1,680 $39K
2023 4,859 $82K
2024 4,776 $94K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,356 2,880 $175K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 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 2,471 2,196 $13K
96160 529 479 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 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) 251 236 $3K
36415 Collection of venous blood by venipuncture 513 477 $2K
94760 444 367 $1K
90674 31 29 $697.48
98960 1,081 970 $426.53
3074F 774 712 $216.00
G0008 Administration of influenza virus vaccine 28 28 $191.51
3075F 276 252 $155.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $112.94
G8510 Screening for depression is documented as negative, a follow-up plan is not required 281 258 $0.00
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 16 14 $0.00
3079F 48 45 $0.00
3017F 29 27 $0.00
3078F 967 886 $0.00
1159F 45 39 $0.00
1160F 46 40 $0.00