Clinic
Optimum Health Systems INC
Optimum Health Systems INC was paid $9.79M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 60% of everything it billed.
33Billing provider infoOPTIMUM HEALTH SYSTEMS INC
BALTIMORE, MD 21216
BALTIMORE, MD 21216
33aNPI1598094997assigned 12/14/2009
28Total paid$9.79M
24GClaims87,521
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Maryland
Rank by total paid#24 of 553
Median peer was paid$501K
This provider vs. median20×
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 | 16,922 | $1.80M | |
| 2019 | 16,716 | $1.83M | |
| 2020 | 15,403 | $1.46M | |
| 2021 | 12,927 | $1.41M | |
| 2022 | 11,277 | $1.38M | |
| 2023 | 8,249 | $1.06M | |
| 2024incomplete | 6,027 | $843K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 60% | 52,288 | 17,880 | $5.90M |
| 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 | 21% | 17,853 | 16,598 | $2.10M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 9.5% | 8,213 | 3,659 | $929K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 3,909 | 2,845 | $230K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.0% | 1,002 | 989 | $198K |
| H0032 | Mental health service plan development by non-physician | 2.0% | 1,963 | 1,961 | $191K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 686 | 680 | $127K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,408 | 1,110 | $93K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 137 | 75 | $13K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 38 | 37 | $4K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 24 | 12 | $1K |
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 officialOMOTOSHO, SAMSON (PROGRAM DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Optimum Health Systems, INC. | Baltimore, MD | $3.19M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.