Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › East Walpole › NPI 1083006738
Physician

Woonsocket Urgent Care PC

Woonsocket Urgent Care PC was paid $393K by Medicaid between Jan 2018 and May 2022, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.

33Billing provider infoWOONSOCKET URGENT CARE PC
EAST WALPOLE, MA 02032
33aNPI1083006738assigned 03/04/2015
28Total paid$393K
24GClaims10,829
24DCodes billed24
24AFirst – last monthJan 2018 – May 2022
Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#91 of 1,270
Median peer was paid$8K
This provider vs. median47×

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
20181,162$44K
20191,202$40K
20201,592$56K
20214,276$162K
20222,597$91K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 52% 4,495 3,953 $203K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 21% 1,275 1,269 $84K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8.7% 338 335 $34K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.7% 714 689 $30K
71046 Radiologic examination, chest; 2 views 2.2% 798 543 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.2% 185 185 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.5% 622 612 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.0% 327 217 $4K
81025 <1% 467 448 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 150 149 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 62 60 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 64 64 $2K
12 more codes
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 159 $1K
86328 <1% 33 $1K
74019 <1% 89 $1K
81000 <1% 376 $828.47
81002 <1% 289 $566.90
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 170 $470.05
ATP14 <1% 13 $108.01
80053 Comprehensive metabolic panel <1% 54 $89.38
80047 <1% 16 $30.56
80076 <1% 14 $11.61
36415 Collection of venous blood by venipuncture <1% 93 $8.44
A6455 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard 0% 26 $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 officialVALLERA, PAUL (CEO)
Parent organizationWOONSOCKET URGENT CARE PC
Same official

Other billing entities under VALLERA, PAUL

Full network →
ProviderLocationPaid
Woonsocket Urgent Care, PCNorwood, MA$2.61M
Woonsocket Urgent Care PCNatick, MA$957K
Woonsocket Urgent CareWoonsocket, RI$27K
Woonsocket Urgent CareEast Walpole, MA$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.