The Carle Center for Pain Management,llc
The Carle Center for Pain Management,llc was paid $225K by Medicaid between Jun 2021 and Aug 2023, across 11 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 68% of everything it billed.
33Billing provider infoTHE CARLE CENTER FOR PAIN MANAGEMENT,LLC
TOWSON, MD 21204
TOWSON, MD 21204
33aNPI1851582563assigned 08/07/2007
33bProvider typeSpecialist
28Total paid$225K
24GClaims3,157
24DCodes billed11
24AFirst – last monthJun 2021 – Aug 2023
Compared with peers
Next to other Specialist providers in Maryland
Rank by total paid#82 of 218
Median peer was paid$88K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2021 | 75 | $2K | |
| 2022 | 890 | $90K | |
| 2023 | 2,192 | $133K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 68% | 1,424 | 1,219 | $153K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 628 | 227 | $36K |
| 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 | 6.4% | 212 | 148 | $14K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 4.0% | 431 | 195 | $9K |
| 99205 | Prolong outpt/office vis | 2.4% | 25 | 25 | $5K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 1.1% | 226 | 104 | $3K |
| 97033 | <1% | 98 | 28 | $1K | |
| G2064 | Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been the cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities | <1% | 39 | 36 | $1K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 25 | 16 | $375.85 |
| 97032 | <1% | 36 | 16 | $374.00 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 13 | 12 | $345.54 |
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 officialCARLE, KENNETH CARLE (PHYSICIAN)