Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic NPI deactivated

Baltimore Medical System, INC

Baltimore Medical System, INC was paid $12K by Medicaid between Jan 2020 and Dec 2020, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.

33Billing provider infoBALTIMORE MEDICAL SYSTEM, INC
ROSEDALE, MD 21237
33aNPI1922004720assigned 06/27/2005
28Total paid$12K
24GClaims491
24DCodes billed7
24AFirst – last monthJan 2020 – Dec 2020
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Maryland

Rank by total paid#26 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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2020491$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 94% 213 210 $12K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.8% 32 32 $711.57
90686 0% 146 137 $0.00
90723 0% 14 14 $0.00
90670 0% 15 15 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 45 45 $0.00
90648 0% 26 26 $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 AND CEO)
Same official

Other billing entities under SUTTON, SHIRLEY

Full network →
ProviderLocationPaid
Baltimore Medical System INCBaltimore, MD$121.19M
BMS Professional GroupBaltimore, MD$13K
Baltimore Medical System, INC.Baltimore, MD$11K
Baltimore Medical System, INCBaltimore, MD$4K
Baltimore Medical System INCBaltimore, MD$1K
Baltimore Medical System INCBaltimore, MD$711.57

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.