Physician
Community Medical Associates, INC.
Community Medical Associates, INC. was paid $1.24M by Medicaid between Jan 2018 and Nov 2024, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoCOMMUNITY MEDICAL ASSOCIATES, INC.
LAWRENCE, MA 01841
LAWRENCE, MA 01841
33aNPI1144544040assigned 03/22/2010
33bProvider typeObesity Medicine (Family Medicine) Physician
28Total paid$1.24M
24GClaims37,664
24DCodes billed52
24AFirst – last monthJan 2018 – Nov 2024
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 | 8,040 | $198K | |
| 2019 | 6,266 | $166K | |
| 2020 | 4,934 | $171K | |
| 2021 | 4,012 | $159K | |
| 2022 | 5,212 | $233K | |
| 2023 | 5,485 | $183K | |
| 2024incomplete | 3,715 | $128K |
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 | 38% | 11,496 | 11,115 | $468K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 10,650 | 10,150 | $371K |
| 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 | 7.2% | 938 | 936 | $89K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.4% | 1,428 | 1,386 | $79K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.2% | 993 | 993 | $64K |
| 99223 | Prolong inpt eval add15 m | 2.3% | 746 | 727 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 670 | 626 | $15K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.2% | 218 | 218 | $15K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 724 | 450 | $13K |
| 99205 | Prolong outpt/office vis | 1.0% | 94 | 94 | $13K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 619 | 500 | $12K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,115 | 2,060 | $8K |
40 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 144 | $8K |
| 99442 | <1% | 554 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 467 | $7K |
| 99397 | <1% | 59 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 96 | $4K |
| 82950 | <1% | 2,159 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 167 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 211 | $3K |
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | <1% | 57 | $2K |
| 90688 | <1% | 382 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 226 | $2K |
| 93307 | <1% | 102 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $1K |
| 99497 | <1% | 71 | $1K | |
| 90682 | <1% | 59 | $982.58 | |
| 99443 | <1% | 42 | $940.97 | |
| 76830 | Ultrasound, transvaginal | <1% | 13 | $865.44 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $736.80 |
| 93018 | <1% | 88 | $647.30 | |
| G0408 | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | <1% | 40 | $613.61 |
| 99422 | <1% | 53 | $593.53 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 12 | $570.60 |
| 90715 | <1% | 13 | $433.37 | |
| 90686 | <1% | 46 | $427.05 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 51 | $401.50 |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $371.61 |
| 90662 | <1% | 44 | $200.46 | |
| 99221 | <1% | 16 | $190.21 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 26 | $187.64 |
| 90461 | <1% | 14 | $137.76 | |
| G0008 | Administration of influenza virus vaccine | <1% | 176 | $38.16 |
| 3725F | <1% | 479 | $15.25 | |
| 1036F | 0% | 614 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 57 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $0.00 |
| 1034F | 0% | 45 | $0.00 | |
| 3288F | 0% | 205 | $0.00 | |
| 1494F | 0% | 20 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 92 | $0.00 |
| 1175F | 0% | 20 | $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 officialWHITLOCK, JOHN (CFO)
| Provider | Location | Paid |
|---|---|---|
| Lawrence General Hospital | Lawrence, MA | $84.57M |
| Lawrence General Hospital | Lawrence, MA | $9.97M |
| General Primary Care of Lawrence | Lawrence, MA | $1.14M |
| LG Newcorp INC | Methuen, MA | $1.08M |
| Lawrence General Hospital | Lawrence, MA | $133K |
| Lawrence General Hospital | Lawrence, MA | $107K |
| Lawrence General Hospital | Lawrence, MA | $372.64 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.