Henry John Merola, M.D., PC

Henry John Merola, M.D., PC was paid $47K by Medicaid between Mar 2018 and Sep 2021, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.

33Billing provider infoHENRY JOHN MEROLA, M.D., PC
WALTHAM, MA 02453

33aNPI1023277183assigned 06/04/2008

33bProvider typeInternal Medicine Physician

28Total paid$47K

24GClaims966

24DCodes billed2

24AFirst – last monthMar 2018 – Sep 2021

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#339 of 1,270

Median peer was paid$8K

This provider vs. median5.6×

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
2018	173	$5K
2019	381	$21K
2020	253	$13K
2021	159	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	86%	862	766	$41K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	104	92	$6K

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 officialMEROLA, HENRY (M.D.)