Upchurch, Ralph

Upchurch, Ralph was paid $38K by Medicaid between Mar 2018 and Feb 2020, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 71% of everything it billed.

33Billing provider infoUPCHURCH, RALPH
SOMERVILLE, MA 02143

33aNPI1154498889assigned 11/29/2006

33bProvider typeEmergency Medicine Physician

28Total paid$38K

24GClaims500

24DCodes billed3

24AFirst – last monthMar 2018 – Feb 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#162 of 618

Median peer was paid$8K

This provider vs. median4.7×

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	239	$18K
2019	231	$18K
2020	30	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	71%	307	302	$27K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	20%	166	166	$8K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	9.2%	27	27	$4K

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.