Worcester Internal Medicine, INC.

Worcester Internal Medicine, INC. was paid $708K by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 61% of everything it billed.

33Billing provider infoWORCESTER INTERNAL MEDICINE, INC.
WORCESTER, MA 01604

33aNPI1063565422assigned 01/19/2007

33bProvider typeInternal Medicine Physician

28Total paid$708K

24GClaims73,894

24DCodes billed49

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#55 of 1,270

Median peer was paid$8K

This provider vs. median85×

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	15,576	$142K
2019	15,221	$126K
2020	13,058	$158K
2021	10,594	$115K
2022	8,350	$56K
2023	7,788	$63K
2024incomplete	3,307	$46K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	61%	38,653	18,989	$429K
99309	Subsequent nursing facility care, per day, low to moderate complexity	13%	6,181	3,385	$94K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.5%	2,554	2,393	$60K
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	3.2%	775	730	$22K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.8%	796	636	$20K
99306	Prolong nursin fac eval 15m	2.6%	620	617	$19K
99310	Prolong nursin fac eval 15m	1.7%	566	474	$12K
99238	Hospital discharge day management, 30 minutes or less	<1%	598	554	$7K
99222	Initial hospital care, per day, moderate complexity	<1%	337	310	$7K
84443	Thyroid stimulating hormone (TSH)	<1%	1,461	1,453	$6K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	2,302	2,229	$5K
99335		<1%	126	104	$3K

37 more codes

84439		<1%	1,409	$3K
82540		<1%	2,582	$3K
84520		<1%	2,505	$2K
99348		<1%	244	$2K
83735		<1%	1,129	$2K
80051		<1%	1,792	$1K
99349		<1%	37	$1K
99223	Prolong inpt eval add15 m	<1%	32	$1K
82310		<1%	1,819	$866.78
99336		<1%	15	$852.05
80061	Lipid panel	<1%	1,380	$818.74
83036	Hemoglobin; glycosylated (A1C)	<1%	480	$744.16
93000		<1%	159	$690.04
86140		<1%	303	$432.23
85651		<1%	354	$408.82
99215	Doctor's office visit, returning patient (complex)	<1%	12	$306.02
82947		<1%	1,750	$292.21
71046	Radiologic examination, chest; 2 views	<1%	33	$286.59
90688		<1%	58	$249.47
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	26	$183.24
99442		<1%	16	$178.81
99318		<1%	12	$125.90
99307		<1%	30	$118.59
36415	Collection of venous blood by venipuncture	<1%	1,837	$110.04
82550		<1%	67	$46.21
82570		<1%	24	$32.20
84460		<1%	55	$24.50
84450		<1%	55	$23.94
84075		<1%	55	$23.94
82247		<1%	55	$23.18
82040		<1%	55	$22.88
ATP10		<1%	339	$17.92
84155		<1%	54	$13.09
81002		<1%	12	$8.18
ATP07		0%	66	$0.00
90662		0%	17	$0.00
G0008	Administration of influenza virus vaccine	0%	57	$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 officialPATNAUDE, THOMAS (OWNER)