Physician
Hampden & Franklin County Cardiovascular Associates, PC
Hampden & Franklin County Cardiovascular Associates, PC was paid $850K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoHAMPDEN & FRANKLIN COUNTY CARDIOVASCULAR ASSOCIATES, PC
GREENFIELD, MA 01301
GREENFIELD, MA 01301
33aNPI1174552350assigned 07/01/2006
33bProvider typeInternal Medicine Physician
28Total paid$850K
24GClaims32,151
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#45 of 1,270
Median peer was paid$8K
This provider vs. median102×
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 | 5,664 | $158K | |
| 2019 | 7,055 | $149K | |
| 2020 | 6,195 | $126K | |
| 2021 | 4,673 | $131K | |
| 2022 | 4,096 | $114K | |
| 2023 | 2,324 | $81K | |
| 2024incomplete | 2,144 | $91K |
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 | 59% | 12,173 | 11,914 | $499K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 27% | 4,023 | 2,456 | $231K |
| 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 | 4.2% | 405 | 404 | $36K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.4% | 6,041 | 5,168 | $21K |
| 93229 | 2.0% | 87 | 86 | $17K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 362 | 229 | $11K |
| 93296 | 1.0% | 1,172 | 1,166 | $9K | |
| 93295 | <1% | 299 | 297 | $6K | |
| 93000 | <1% | 344 | 333 | $3K | |
| 99443 | <1% | 162 | 149 | $2K | |
| 99442 | <1% | 184 | 170 | $2K | |
| 93925 | <1% | 52 | 40 | $2K |
21 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 40 | $2K |
| 93297 | <1% | 226 | $2K | |
| 93978 | <1% | 30 | $2K | |
| 93294 | <1% | 169 | $1K | |
| 93922 | <1% | 58 | $1K | |
| 93298 | <1% | 87 | $970.87 | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 91 | $864.19 |
| 93970 | <1% | 21 | $810.12 | |
| 93228 | <1% | 87 | $571.64 | |
| 93015 | <1% | 12 | $562.15 | |
| 93225 | <1% | 12 | $158.60 | |
| 99441 | <1% | 18 | $128.10 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,975 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 867 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 647 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,503 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 12 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 15 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 934 | $0.00 |
| 1111F | 0% | 26 | $0.00 | |
| 1036F | 0% | 17 | $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 officialARCOLEO, JAMES (PRESIDENT)