Clinic
Specialty Physicians of Garrett County, LLC
Specialty Physicians of Garrett County, LLC was paid $278K by Medicaid between Jan 2020 and Aug 2024, across 8 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 46% of everything it billed.
33Billing provider infoSPECIALTY PHYSICIANS OF GARRETT COUNTY, LLC
OAKLAND, MD 21550
OAKLAND, MD 21550
33aNPI1871065813assigned 12/31/2018
28Total paid$278K
24GClaims3,826
24DCodes billed8
24AFirst – last monthJan 2020 – Aug 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Maryland
Rank by total paid#329 of 553
Median peer was paid$501K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2020 | 1,327 | $83K | |
| 2021 | 1,427 | $106K | |
| 2022 | 430 | $38K | |
| 2023 | 535 | $41K | |
| 2024incomplete | 107 | $10K |
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 | 46% | 1,770 | 1,002 | $128K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 1,277 | 1,127 | $79K |
| 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 | 22% | 599 | 546 | $61K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 26 | 25 | $4K |
| 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 | 1.2% | 37 | 30 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | 24 | $857.33 |
| 80305 | <1% | 38 | 30 | $358.14 | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 54 | 27 | $132.66 |
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 officialLIPSCOMB, TRACY (VICE PRESIDENT, FINANCE & CFO)
| Provider | Location | Paid |
|---|---|---|
| Professional Emergency Physician Services, LLC | Oakland, MD | $1.36M |
| Specialty Physicians of Garrett County, LLC | Oakland, MD | $993K |
| Garrett County Memorial Hospital | Oakland, MD | $819K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.