Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CONGENIAL HEALTHCARE, LLC

NPI: 1063923399 · MIDDLETON, MA 01949 · Adult Medicine Physician · NPI assigned 10/13/2017

$578K
Total Medicaid Paid
17,177
Total Claims
15,638
Beneficiaries
24
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialALLARA, MARK (PARTNER)
Parent OrganizationCONGENIAL HEALTHCARE, LLC
NPI Enumeration Date10/13/2017

Related Entities

Other providers sharing the same authorized official: ALLARA, MARK

ProviderCityStateTotal Paid
MIDDLETON FAMILY MEDICINE URGENT CARE, LLC MIDDLETON MA $1.43M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,317 $142K
2019 5,915 $175K
2020 5,931 $260K
2021 14 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,672 6,666 $381K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,761 3,440 $167K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 127 125 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,574 1,484 $6K
90674 265 265 $4K
84443 Thyroid stimulating hormone (TSH) 364 354 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 191 189 $3K
ATP18 366 357 $2K
80061 Lipid panel 671 655 $1K
80048 Basic metabolic panel (calcium, ionized) 908 865 $949.99
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 29 28 $939.17
ATP15 171 167 $660.72
80076 498 480 $512.62
ATP14 107 104 $470.23
ATP08 107 99 $226.98
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 24 24 $192.21
96127 144 140 $178.74
99050 13 12 $165.60
93000 13 13 $92.54
80053 Comprehensive metabolic panel 28 27 $40.26
83036 Hemoglobin; glycosylated (A1C) 13 13 $35.44
G0008 Administration of influenza virus vaccine 106 106 $22.84
96160 13 13 $11.69
99000 12 12 $1.00