Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › LAWRENCE › COMMUNITY MEDICAL ASSOCIATES, INC.

COMMUNITY MEDICAL ASSOCIATES, INC.

NPI: 1144544040 · LAWRENCE, MA 01841 · Obesity Medicine (Family Medicine) Physician · NPI assigned 03/22/2010

$1.24M
Total Medicaid Paid
37,664
Total Claims
35,881
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWHITLOCK, JOHN (CFO)
NPI Enumeration Date03/22/2010

Related Entities

Other providers sharing the same authorized official: WHITLOCK, JOHN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,715 $128K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,496 11,115 $468K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,650 10,150 $371K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 938 936 $89K
99215 Prolong outpt/office vis 1,428 1,386 $79K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 993 993 $64K
99223 Prolong inpt eval add15 m 746 727 $28K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 670 626 $15K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 218 218 $15K
99233 Prolong inpt eval add15 m 724 450 $13K
99205 Prolong outpt/office vis 94 94 $13K
99232 Subsequent hospital care, per day, moderate complexity 619 500 $12K
83036 Hemoglobin; glycosylated (A1C) 2,115 2,060 $8K
99222 Initial hospital care, per day, moderate complexity 144 142 $8K
99442 554 542 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 467 441 $7K
99397 59 59 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 96 96 $4K
82950 2,159 2,095 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 167 154 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity 211 137 $3K
G0427 Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth 57 54 $2K
90688 382 361 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 226 207 $2K
93307 102 102 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $1K
99497 71 50 $1K
90682 59 57 $982.58
99443 42 41 $940.97
76830 Ultrasound, transvaginal 13 13 $865.44
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 12 12 $736.80
93018 88 88 $647.30
G0408 Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth 40 32 $613.61
99422 53 52 $593.53
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 12 12 $570.60
90715 13 13 $433.37
90686 46 46 $427.05
96110 Developmental screening, with scoring and documentation, per standardized instrument 51 50 $401.50
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 13 $371.61
90662 44 44 $200.46
99221 16 16 $190.21
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 26 25 $187.64
90461 14 14 $137.76
G0008 Administration of influenza virus vaccine 176 174 $38.16
3725F 479 464 $15.25
1036F 614 574 $0.00
H0002 Behavioral health screening to determine eligibility for admission to treatment program 57 57 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 15 15 $0.00
1034F 45 43 $0.00
3288F 205 193 $0.00
1494F 20 20 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 92 85 $0.00
1175F 20 20 $0.00