Clinic
Athol Memorial Hospital Incorporated
Athol Memorial Hospital Incorporated was paid $162K by Medicaid between Jun 2021 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoATHOL MEMORIAL HOSPITAL INCORPORATED
ATHOL, MA 01331
ATHOL, MA 01331
33aNPI1073049441assigned 05/04/2017
33bProvider typeRural Health Clinic/Center
28Total paid$162K
24GClaims5,125
24DCodes billed5
24AFirst – last monthJun 2021 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Massachusetts
Rank by total paid#5 of 7
Median peer was paid$1.52M
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 685 | $24K | |
| 2022 | 1,482 | $41K | |
| 2023 | 1,524 | $55K | |
| 2024incomplete | 1,434 | $42K |
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 | 66% | 1,770 | 1,556 | $107K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 1,064 | 946 | $55K |
| 36415 | Collection of venous blood by venipuncture | <1% | 792 | 711 | $0.33 |
| 94760 | 0% | 1,456 | 1,281 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 43 | 43 | $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 officialSULLIVAN, THOMAS (CEO)
Parent organizationATHOL MEMORIAL HOSPITAL INCORPORATED
| Provider | Location | Paid |
|---|---|---|
| Henry Heywood Memorial Hospital | Gardner, MA | $54.50M |
| Athol Memorial Hospital Incorporated | Athol, MA | $30.77M |
| Heywood Medical Group INC. | Gardner, MA | $4.22M |
| Heywood Affiliated Medical Group INC. | Gardner, MA | $734K |
| Heywood Medical Group INC | Athol, MA | $436K |
| Athol Memorial Hospital Incorporated | Athol, MA | $52K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.