Grace Medical Center, INC.
Grace Medical Center, INC. was paid $954K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
BALTIMORE, MD 21223
Next to other Family Medicine Physician providers in Maryland
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,249 | $57K | |
| 2019 | 679 | $24K | |
| 2020 | 2,543 | $110K | |
| 2021 | 2,075 | $127K | |
| 2022 | 2,836 | $197K | |
| 2023 | 2,851 | $230K | |
| 2024incomplete | 2,214 | $208K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 60% | 6,740 | 5,706 | $574K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 4,905 | 4,217 | $334K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 584 | 494 | $21K |
| 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% | 45 | 43 | $6K |
| 82962 | <1% | 886 | 753 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 39 | 31 | $4K |
| 90686 | <1% | 134 | 115 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 43 | 41 | $2K |
| 99442 | <1% | 312 | 278 | $2K | |
| 90673 | <1% | 40 | 40 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 30 | 12 | $978.40 |
15 more codes
| G0008 | Administration of influenza virus vaccine | <1% | 41 | $625.50 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 212 | $327.65 |
| 90715 | <1% | 17 | $325.92 | |
| 99443 | <1% | 31 | $258.83 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 47 | $257.31 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $235.40 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 44 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 76 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 43 | $0.00 |
| 1101F | 0% | 16 | $0.00 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 22 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 15 | $0.00 |
| 3017F | 0% | 72 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 13 | $0.00 |
| 1090F | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Grace Medical Center, INC. | Randallstown, MD | $9.78M |
| Grace Medical Center, INC. | Randallstown, MD | $7.20M |
| Grace Medical Center, INC. | Baltimore, MD | $4.24M |
| Grace Medical Center, INC. | Randallstown, MD | $4.18M |
| Grace Medical Center, INC. | Baltimore, MD | $2.26M |
| Grace Medical Center, INC. | Baltimore, MD | $1.74M |
| Grace Medical Center, INC. | Baltimore, MD | $1.49M |
| Grace Medical Center, INC. | Baltimore, MD | $410K |
| Grace Medical Center, INC. | Baltimore, MD | $69K |
| Grace Medical Center, INC. | Baltimore, MD | $23K |
| Grace Medical Center, INC. | Baltimore, MD | $3K |
| Grace Medical Center, INC. | Randallstown, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.