Clinic
NPI deactivated
Baltimore Medical System INC
Baltimore Medical System INC was paid $121.19M by Medicaid between Jan 2018 and Dec 2024, across 159 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoBALTIMORE MEDICAL SYSTEM INC
BALTIMORE, MD 21224
BALTIMORE, MD 21224
33aNPI1548266547assigned 06/23/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$121.19M
24GClaims957,565
24DCodes billed159
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maryland
Rank by total paid#1 of 34
Median peer was paid$741K
This provider vs. median164×
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 | 39,089 | $1.75M | |
| 2019 | 27,362 | $1.90M | |
| 2020 | 166,430 | $22.83M | |
| 2021 | 172,576 | $23.54M | |
| 2022 | 171,703 | $23.27M | |
| 2023 | 192,640 | $24.95M | |
| 2024incomplete | 187,765 | $22.95M |
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 | 39% | 223,371 | 191,594 | $47.78M |
| 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 | 20% | 117,347 | 98,759 | $24.05M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 13% | 169,793 | 113,574 | $15.48M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.3% | 41,451 | 36,399 | $8.90M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 28,907 | 25,581 | $6.35M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 26,921 | 24,387 | $6.18M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 19,556 | 17,788 | $4.48M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 13,384 | 12,021 | $2.99M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 7,776 | 6,623 | $1.66M |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 5,914 | 5,104 | $1.14M |
| 99381 | <1% | 1,889 | 1,703 | $382K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 3,348 | 1,119 | $306K |
147 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,426 | $283K |
| 99385 | <1% | 975 | $189K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 741 | $129K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 604 | $129K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 531 | $116K |
| 0011A | <1% | 1,550 | $52K | |
| 99384 | <1% | 237 | $50K | |
| 90686 | <1% | 34,122 | $45K | |
| 0012A | <1% | 1,140 | $39K | |
| 99383 | <1% | 195 | $39K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 247 | $38K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 173 | $34K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 40 | $29K |
| W7010 | <1% | 1,577 | $24K | |
| 90715 | <1% | 2,181 | $18K | |
| 99386 | <1% | 87 | $18K | |
| 99205 | Prolong outpt/office vis | <1% | 81 | $16K |
| 81025 | <1% | 11,967 | $15K | |
| 90670 | <1% | 16,206 | $13K | |
| 90648 | <1% | 9,295 | $11K | |
| 90746 | <1% | 326 | $11K | |
| 90677 | <1% | 5,423 | $11K | |
| 90723 | <1% | 8,091 | $10K | |
| 11721 | <1% | 107 | $7K | |
| 59430 | <1% | 34 | $7K | |
| 90651 | <1% | 4,944 | $7K | |
| 99350 | Prolong home eval add 15m | <1% | 88 | $7K |
| 90633 | <1% | 7,735 | $6K | |
| 0503F | <1% | 165 | $6K | |
| 3074F | <1% | 18,219 | $6K | |
| 0124A | <1% | 211 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 7,396 | $5K |
| 99382 | <1% | 30 | $5K | |
| 90716 | <1% | 1,111 | $5K | |
| 82962 | <1% | 15,693 | $5K | |
| 90681 | <1% | 5,246 | $5K | |
| 0013A | <1% | 131 | $4K | |
| 0071A | <1% | 120 | $4K | |
| 99496 | <1% | 69 | $4K | |
| 80305 | <1% | 1,817 | $4K | |
| 3008F | <1% | 14,373 | $4K | |
| 11981 | <1% | 17 | $3K | |
| 0001A | <1% | 121 | $3K | |
| 90480 | <1% | 215 | $3K | |
| 90707 | <1% | 930 | $3K | |
| 81003 | <1% | 12,703 | $3K | |
| 3078F | <1% | 14,856 | $3K | |
| 0072A | <1% | 74 | $3K | |
| 90620 | <1% | 1,394 | $3K | |
| 11056 | <1% | 30 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,847 | $3K |
| 3015F | <1% | 1,672 | $3K | |
| 90739 | <1% | 71 | $2K | |
| 91320 | <1% | 119 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,252 | $2K |
| 36416 | <1% | 412 | $2K | |
| 97802 | <1% | 21 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 55 | $2K |
| 90734 | <1% | 1,857 | $2K | |
| 0064A | <1% | 46 | $2K | |
| 3075F | <1% | 3,781 | $2K | |
| 90688 | <1% | 1,936 | $2K | |
| 0134A | <1% | 125 | $1K | |
| 99495 | <1% | 25 | $1K | |
| 90713 | <1% | 645 | $1K | |
| 90697 | <1% | 7,681 | $1K | |
| 91322 | <1% | 55 | $1K | |
| 3044F | <1% | 671 | $1K | |
| 3079F | <1% | 7,364 | $897.44 | |
| 90674 | <1% | 1,484 | $894.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,367 | $846.27 |
| 59025 | Fetal non-stress test | <1% | 33 | $840.87 |
| 90710 | <1% | 650 | $753.15 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 84 | $739.14 |
| 99344 | <1% | 13 | $675.09 | |
| 90656 | <1% | 3,785 | $652.74 | |
| 0054A | <1% | 21 | $640.00 | |
| 90700 | <1% | 579 | $628.86 | |
| 0111A | <1% | 17 | $600.00 | |
| 96127 | <1% | 3,417 | $481.10 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 1,780 | $481.00 |
| G8482 | Influenza immunization administered or previously received | <1% | 182 | $474.38 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,735 | $389.11 |
| 90632 | <1% | 14 | $388.44 | |
| 87210 | <1% | 2,076 | $301.32 | |
| 90619 | <1% | 898 | $256.38 | |
| 90647 | <1% | 1,670 | $256.08 | |
| 90714 | <1% | 70 | $237.75 | |
| 90680 | <1% | 1,592 | $186.24 | |
| 90750 | <1% | 17 | $165.16 | |
| 91321 | <1% | 121 | $145.92 | |
| 3014F | <1% | 452 | $140.00 | |
| 90696 | <1% | 356 | $116.40 | |
| 92551 | <1% | 687 | $101.06 | |
| 93000 | <1% | 72 | $76.72 | |
| 99406 | <1% | 41 | $49.95 | |
| 92229 | <1% | 158 | $40.00 | |
| 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% | 311 | $33.64 |
| 81002 | <1% | 456 | $31.65 | |
| 90380 | <1% | 24 | $23.27 | |
| 99173 | <1% | 542 | $21.54 | |
| 3046F | <1% | 22 | $20.00 | |
| 3051F | <1% | 12 | $20.00 | |
| 96381 | <1% | 25 | $16.63 | |
| 0502F | <1% | 1,627 | $3.00 | |
| 99499 | 0% | 317 | $0.00 | |
| 1159F | 0% | 8,491 | $0.00 | |
| 90661 | 0% | 1,101 | $0.00 | |
| 2022F | 0% | 71 | $0.00 | |
| 1160F | 0% | 5,506 | $0.00 | |
| 0004A | 0% | 23 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 228 | $0.00 |
| 3062F | 0% | 39 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 311 | $0.00 |
| 3077F | 0% | 210 | $0.00 | |
| 3288F | 0% | 41 | $0.00 | |
| 90461 | 0% | 174 | $0.00 | |
| 99497 | 0% | 13 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 31 | $0.00 |
| 82948 | 0% | 38 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 13 | $0.00 |
| 86703 | 0% | 18 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 15 | $0.00 |
| 99442 | 0% | 14 | $0.00 | |
| 85610 | 0% | 14 | $0.00 | |
| 91301 | 0% | 1,226 | $0.00 | |
| 1125F | 0% | 5,550 | $0.00 | |
| 1126F | 0% | 4,734 | $0.00 | |
| 1111F | 0% | 644 | $0.00 | |
| 3080F | 0% | 181 | $0.00 | |
| 3017F | 0% | 1,095 | $0.00 | |
| 2023F | 0% | 300 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 218 | $0.00 |
| 3072F | 0% | 253 | $0.00 | |
| 82044 | 0% | 286 | $0.00 | |
| 2033F | 0% | 178 | $0.00 | |
| 0501F | 0% | 45 | $0.00 | |
| 90744 | 0% | 173 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 53 | $0.00 |
| 1000F | 0% | 59 | $0.00 | |
| 3060F | 0% | 39 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 28 | $0.00 |
| 91305 | 0% | 23 | $0.00 | |
| 1036F | 0% | 23 | $0.00 | |
| 90381 | 0% | 28 | $0.00 | |
| 0500F | 0% | 21 | $0.00 | |
| 97750 | 0% | 14 | $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 officialSUTTON, SHIRLEY (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| BMS Professional Group | Baltimore, MD | $13K |
| Baltimore Medical System, INC | Rosedale, MD | $12K |
| Baltimore Medical System, INC. | Baltimore, MD | $11K |
| Baltimore Medical System, INC | Baltimore, MD | $4K |
| Baltimore Medical System INC | Baltimore, MD | $1K |
| Baltimore Medical System INC | Baltimore, MD | $711.57 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.