Congenial Healthcare, LLC

Congenial Healthcare, LLC was paid $132K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoCONGENIAL HEALTHCARE, LLC
PEABODY, MA 01960

33aNPI1124539382assigned 10/16/2017

33bProvider typeAdult Medicine Physician

28Total paid$132K

24GClaims3,525

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Adult Medicine Physician providers in Massachusetts

Rank by total paid#5 of 11

Median peer was paid$74K

This provider vs. median1.8×

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	280	$12K
2019	289	$12K
2020	503	$26K
2021	613	$37K
2022	771	$34K
2023	618	$9K
2024incomplete	451	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	52%	1,722	1,516	$68K
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	48%	1,419	1,248	$63K
81002		<1%	278	271	$567.61
90686		<1%	13	13	$247.39
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	51	41	$188.27
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	12	12	$184.05
G0444	Annual depression screening, 5 to 15 minutes	<1%	30	30	$42.18

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 officialCHAOUI, ALAIN (PHYSICIAN)

Parent organizationCONGENIAL HEALTHCARE, LLC