Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Joe, Mary

Joe, Mary was paid $502K by Medicaid between Jan 2018 and Feb 2023, across 12 billing codes. Its largest line is S9083, Global fee urgent care centers — 82% of everything it billed.

33Billing provider infoJOE, MARY
LAWRENCE, MA 01843
33aNPI1063402659assigned 10/25/2005
28Total paid$502K
24GClaims4,704
24DCodes billed12
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#33 of 618
Median peer was paid$8K
This provider vs. median61×

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$20K$40K2018201920202021202220232024
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
2018123$8K
2019157$23K
2020971$122K
20211,974$171K
20221,212$143K
2023267$36K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9083 Global fee urgent care centers 82% 3,182 3,102 $409K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 10% 361 348 $51K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3.0% 129 128 $15K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1.4% 163 162 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.1% 37 37 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 83 81 $4K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 169 166 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 28 28 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 44 44 $2K
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 <1% 12 12 $1K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 244 235 $300.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 252 243 $10.50

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.