Medicaid Provider Spending

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

HEALOGICS SPECIALTY PHYSICIANS OF MASSACHUSETTS, PLLC

NPI: 1083096614 · HOLYOKE, MA 01040 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · NPI assigned 06/19/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WILLIAMS, FRANK controls 20+ related entities in our dataset. Read more

$356K
Total Medicaid Paid
23,444
Total Claims
16,095
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILLIAMS, FRANK (CEO)
NPI Enumeration Date06/19/2015

Related Entities

Other providers sharing the same authorized official: WILLIAMS, FRANK

ProviderCityStateTotal Paid
WINDSOR PUBLIC SCHOOL WINDSOR CT $1.36M
FOCUS POINTE COUNSELING SOLUTIONS, INC. OKLAHOMA CITY OK $1.33M
BUTLER COUNTY CLERK EL DORADO KS $863K
HEALOGICS SPECIALTY PHYSICIANS OF OKLAHOMA, PLLC LAWTON OK $812K
HEALOGICS SPECIALTY PHYSICIANS OF OHIO, LLC TROY OH $779K
HEALOGICS SPECIALTY PHYSICIANS OF MISSOURI, LLC JOPLIN MO $775K
HEALOGICS SPECIALTY PHYSICIANS OF OREGON, LLC SALEM OR $653K
NAUTILUS HEALTH CARE GROUP LLC MELBOURNE FL $649K
HEALOGICS SPECIALTY PHYSICIANS OF TENNESSEE, PLLC CLARKSVILLE TN $517K
HEALOGICS SPECIALTY PHYSICIANS OF MISSISSIPPI, LLC NATCHEZ MS $433K
HEALOGICS SPECIALTY PHYSICIANS OF VIRGINIA, LLC FREDERICKSBURG VA $397K
HEALOGICS SPECIALTY PHYSICIANS OF MARYLAND, LLC LEONARDTOWN MD $347K
HEALOGICS SPECIALTY PHYSICIANS OF ARKANSAS, PLLC FAYETTEVILLE AR $332K
HEALOGICS SPECIALTY PHYSICIANS OF SOUTH CAROLINA, LLC MYRTLE BEACH SC $279K
HEALOGICS SPECIALTY PHYSICIANS OF TEXAS, PLLC ALLEN TX $266K
HEALOGICS SPECIALTY PHYSICIANS OF LOUISIANA, LLC LAKE CHARLES LA $224K
HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC PARKER CO $208K
PONS PHYSICIAN SERVICES, PLLC CORTLAND NY $173K
HEALOGICS SPECIALTY PHYSICIANS OF WEST VIRGINIA, PLLC LOGAN WV $145K
HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC LAKEWOOD CO $128K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,231 $22K
2019 2,358 $27K
2020 3,240 $41K
2021 4,422 $69K
2022 4,155 $84K
2023 4,907 $67K
2024 3,131 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 13,091 7,891 $201K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,685 3,714 $67K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,682 1,358 $36K
97597 2,600 1,887 $19K
99221 661 616 $17K
99222 Initial hospital care, per day, moderate complexity 275 259 $9K
99232 Subsequent hospital care, per day, moderate complexity 83 73 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 39 38 $1K
11043 42 28 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 154 120 $1K
11045 32 25 $602.75
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 30 30 $447.34
17250 57 43 $251.50
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $157.78