Providers
All 14 in MD
CAROLYN JAYNE HOWELL, M.D.
NPI 1932368735, individual, Baltimore, MD, Psychiatry & Neurology, Child & Adolescent Psychiatry
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 1 month, but with up to 1404 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99214 ($167 per patient-month) sit in the top 5% of every provider billing that code.
score 54 of 100, rank 8009, $254K at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 43.7 | 65.3 | 43.5 | 58.7 | 1404 | 2 | 90791 90832 90834 90847 90853 99214 | $204K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CAROLYN JAYNE HOWELL, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | June 5, 2008, last updated November 11, 2021 |
| Practice location | 600 N WOLFE STREET, Baltimore, MD 21264-3201, 410-955-5000 |
| Mailing address | 6201 GREENLEIGH AVE, Middle River, MD 21220-2004 |
| Specialties | Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, primary, license D72105 MD) Psychiatry & Neurology, Psychiatry (2084P0800X, license MD037248 DC) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | $200K | 38% | $165 | $101 (top 5% from $318) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $167K | 31% | $167 | $60 (top 5% from $133) | 98th percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $71K | 13% | $84 | $49 (top 5% from $109) | 88th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $31K | 6% | $203 | $112 (top 5% from $313) | 86th percentile | |
| 90832 | Psychotherapy, 30 minutes | $24K | 4% | $78 | $59 (top 5% from $239) | too few months to rank | |
| 90847 | Family psychotherapy with patient, 50 minutes | $16K | 3% | $128 | $130 (top 5% from $458) | too few months to rank | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $9K | 2% | $85 | $44 (top 5% from $110) | 90th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $7K | 1% | $208 | $105 (top 5% from $228) | too few months to rank |
In this area
14 providers in Baltimore, MD carry an indicator in the public record, with $17.0M at stake between them. The most common is more hours than a day holds, on 8 of them, followed by named in an enforcement record on 3. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | GUIDING LIVES Baltimore, MD, ranked 57 | $1.4M |
|
| 1 | ANOTHER CHANCE SUPPORTIVE SERVICES Baltimore, MD, ranked 67 | $874K |
|
| 1 | GUIDING LIVES Baltimore, MD, ranked 631 | $0 |
|
| 2 | ABENA ADOKO SANDO Baltimore, MD, ranked 704 | $581K |
|
| 3 | MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC. Baltimore, MD, ranked 969 | $2.1M |
|
| 4 | DEEPAK SETH Baltimore, MD, ranked 7423 | $6.1M |
|
| 4 | WALTER TOLLER Baltimore, MD, ranked 7947 | $480K |
|
| 4 | TANYA PEETE Baltimore, MD, ranked 8625 | $2.5M |
|
Recent enforcement in MD
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementMar 20, 2026
Health Care Management Corporation Agrees to Pay $4 Million to Resolve False Claims Act Allegations
CVR knowingly submitted claims to Medicare, Medicaid, and TRICARE for sclerotherapy, radiofrequency ablation, and endovenous laser ablation procedures to treat chronic venous insufficiency that were not clinically indicated and were medically unnecessary between January 1, 2010, and December 31, 2016.
DOJCivil settlementNov 20, 2025
Diagnostic Laboratory Agrees to Pay More Than $1 Million to Settle Alleged False Claims Act Violations
GTI agreed to pay $1.635 million to resolve allegations that it submitted Medicare claims for respiratory pathogen panels that were medically unnecessary or obtained through kickbacks paid under a marketing services agreement with an infection prevention company for laboratory test referrals from long-term care facilities.
DOJSentencedNov 13, 2025
Baltimore County Woman Sentenced for Impersonating Nurses and Aggravated Identity Theft
Amponsah used stolen nursing licenses and false educational and professional histories to obtain employment as a purported licensed nurse at no less than 40 facilities in Maryland that billed health care benefit programs including Medicare and Medicaid for services she provided, earning more than $145,000 in wages.
DOJPleaded guiltyAug 14, 2025
Baltimore County Woman Admits to Impersonating Nurses, Pleads Guilty to Aggravated Identity Theft
Amponsah used stolen nursing licenses and false educational and professional histories to obtain employment as a purported licensed nurse at no less than 40 facilities in Maryland, which billed health care benefit programs including Medicare and Medicaid for services she provided.
DOJCivil judgmentAug 11, 2025
United States Obtains More Than $1.4 Million Judgment Against Family Medical Practitioner for Fraudulent Billing
Akoto billed Medicare for auricular stimulation (P-Stim) devices using a code for a surgically implanted neurostimulator device, which Medicare does not reimburse as acupuncture.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.