Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

CONCERTED CARE GROUP BALTIMORE, LLC

Case Management·BALTIMORE, MD·NPI: 1487059531Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.3M is at the below 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$26.3M

$26,299,771

Total Claims

522K

Beneficiaries

142K

3.7 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$4.4M
+3%
2019
$4.5M
-13%
2020
$3.9M
-5%
2021
$3.7M
-10%
2022
$3.3M
+2%
2023
$3.4M
-13%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 39% of total spending.

H0020Top 25%

Alcohol/drug services; methadone administration

$10.3M

138K claims · 39.0%

Your Cost: $74.20/claim|Median: $18.95
3.9× median
W1761Normal range

$4.5M

38K claims · 17.0%

Your Cost: $118.43/claim|Median: $116.75
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.6M

41K claims · 10.0%

Your Cost: $63.77/claim|Median: $74.63
0.9× median
H0005Normal range

Alcohol and/or drug services, group counseling

$2.0M

44K claims · 7.7%

Your Cost: $46.08/claim|Median: $47.35
1.0× median
J0574Normal range

$1.8M

125K claims · 6.8%

Your Cost: $14.38/claim|Median: $15.76
0.9× median
H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$1.6M

24K claims · 5.9%

Your Cost: $64.38/claim|Median: $81.37
0.8× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$1.0M

8,394 claims · 3.9%

Your Cost: $122.08/claim|Median: $53.41
2.3× median
H0001Top 25%

Alcohol and/or drug assessment

$731K

4,299 claims · 2.8%

Your Cost: $170.06/claim|Median: $94.22
1.8× median
J0572Normal range

$582K

69K claims · 2.2%

Your Cost: $8.42/claim|Median: $8.49
1.0× median
99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$379K

5,132 claims · 1.4%

Your Cost: $73.89/claim|Median: $37.81
2.0× median
H0016Top 25%

Alcohol or drug abuse services, prenatal

$352K

1,507 claims · 1.3%

Your Cost: $233.88/claim|Median: $182.66
1.3× median
J0573Normal range

$196K

15K claims · 0.7%

Your Cost: $13.47/claim|Median: $12.82
1.1× median
W1760Normal range

$134K

1,216 claims · 0.5%

Your Cost: $110.31/claim|Median: $106.40
1.0× median
G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$67K

5,047 claims · 0.3%

Your Cost: $13.31/claim|Median: $73.29
0.2× median
99215Top 25%

Office/outpatient visit, high complexity

$62K

450 claims · 0.2%

Your Cost: $137.19/claim|Median: $74.09
1.9× median
G2078Normal range

$16K

554 claims · 0.1%

Your Cost: $28.72/claim|Median: $27.04
1.1× median
H0038Normal range

Self-help/peer services, per 15 minutes

$7K

134 claims · 0.0%

Your Cost: $49.23/claim|Median: $55.04
0.9× median
99212Top 25%

Office/outpatient visit, low complexity

$5K

111 claims · 0.0%

Your Cost: $44.23/claim|Median: $25.06
1.8× median
G2077Normal range

$4K

294 claims · 0.0%

Your Cost: $14.11/claim|Median: $38.98
0.4× median
H0024Normal range

$3K

130 claims · 0.0%

Your Cost: $20.73/claim|Median: $27.14
0.8× median
99211Top 25%

Office/outpatient visit, minimal complexity

$2K

77 claims · 0.0%

Your Cost: $21.07/claim|Median: $12.93
1.6× median
G2074Normal range

$658

126 claims · 0.0%

Your Cost: $5.22/claim|Median: $82.20
0.1× median
90889Normal range

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $56.63

Other Top Providers in Maryland

View all →

Mid Atlantic Pemanente Medical Group

Health Maintenance Organization

$317.6M

Genedx LLC

Medical Genetics, Ph.D. Medical Genetics

$215.3M

Quest Diagnostics Incorporated MD

Clinical Medical Laboratory

$121.8M

Baltimore Medical System INC

Clinic/Center Federally Qualified Health Center (

$121.2M

Similar Providers

Other top providers in Case Management

Department of Developmental Services

Southbridge, MA

$1.35B

Commonwealth of Massachusets

Beverly, MA

$1.14B

Commonwealth of Mass-dds

Hyde Park, MA

$1.10B

Community Assistance Resources & Extended Services INC

New York, NY

$1.04B

Stavros Center for Independent Living Inc.

Amherst, MA

$1.04B

← All providersAll providers in Maryland →How we detect fraud →