ABA Somers MD LLC

ABA Somers MD LLC was paid $686.08 by Medicaid between Nov 2018 and May 2021, across 3 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 62% of everything it billed.

33Billing provider infoABA SOMERS MD LLC
FRAMINGHAM, MA 01702

33aNPI1124487368assigned 02/16/2016

33bProvider typePulmonary Disease Physician

28Total paid$686.08

24GClaims69

24DCodes billed3

24AFirst – last monthNov 2018 – May 2021

Compared with peers

Next to other Pulmonary Disease Physician providers in Massachusetts

Rank by total paid#36 of 44

Median peer was paid$7K

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
2018	13	$203.00
2019	33	$427.77
2021	23	$55.31

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	62%	33	13	$427.77
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	30%	13	13	$203.00
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	8.1%	23	13	$55.31

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 officialSOMERS, ABA (PRESIDENT)