Clinic
NPI deactivated
Baltimore Medical System, INC.
Baltimore Medical System, INC. was paid $11K by Medicaid between Jan 2020 and Aug 2023, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.
33Billing provider infoBALTIMORE MEDICAL SYSTEM, INC.
BALTIMORE, MD 21224
BALTIMORE, MD 21224
33aNPI1700882503assigned 06/27/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11K
24GClaims6,245
24DCodes billed36
24AFirst – last monthJan 2020 – Aug 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Maryland
Rank by total paid#27 of 34
Median peer was paid$741K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 1,178 | $9K | |
| 2021 | 3,126 | $2K | |
| 2023 | 1,941 | $0.00 |
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 | 92% | 2,394 | 1,208 | $10K |
| 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 | 7.6% | 774 | 611 | $855.34 |
| 90700 | 0% | 13 | 13 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 686 | 397 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 318 | 209 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 415 | 257 | $0.00 |
| 90670 | 0% | 88 | 71 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 40 | 39 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 112 | 56 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 65 | 64 | $0.00 |
| 81003 | 0% | 60 | 56 | $0.00 | |
| 90710 | 0% | 15 | 15 | $0.00 |
24 more codes
| 90734 | 0% | 34 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 90 | $0.00 |
| 81025 | 0% | 59 | $0.00 | |
| 90715 | 0% | 23 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 18 | $0.00 |
| 90633 | 0% | 21 | $0.00 | |
| 0502F | 0% | 36 | $0.00 | |
| 99173 | 0% | 44 | $0.00 | |
| 90686 | 0% | 334 | $0.00 | |
| 90688 | 0% | 85 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 48 | $0.00 |
| 82962 | 0% | 42 | $0.00 | |
| 3044F | 0% | 71 | $0.00 | |
| 90651 | 0% | 74 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 20 | $0.00 |
| 90647 | 0% | 46 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 90680 | 0% | 18 | $0.00 | |
| 90723 | 0% | 37 | $0.00 | |
| 92551 | 0% | 42 | $0.00 | |
| 96127 | 0% | 48 | $0.00 | |
| 90619 | 0% | 28 | $0.00 | |
| 90620 | 0% | 19 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 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 / CEO)
| Provider | Location | Paid |
|---|---|---|
| Baltimore Medical System INC | Baltimore, MD | $121.19M |
| BMS Professional Group | Baltimore, MD | $13K |
| Baltimore Medical System, INC | Rosedale, MD | $12K |
| 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.