Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Hallmark Health Urgent Care Physicians LLC

Hallmark Health Urgent Care Physicians LLC was paid $127K by Medicaid between Jan 2018 and May 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.

33Billing provider infoHALLMARK HEALTH URGENT CARE PHYSICIANS LLC
READING, MA 01867
33aNPI1184066912assigned 07/22/2013
33bProvider typePhysician Assistant
28Total paid$127K
24GClaims1,888
24DCodes billed2
24AFirst – last monthJan 2018 – May 2024
Compared with peers

Next to other Physician Assistant providers in Massachusetts

Rank by total paid#27 of 272
Median peer was paid$6K
This provider vs. median21×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018127$7K
2019420$29K
2020741$55K
2021324$17K
2022178$12K
202384$6K
2024incomplete14$806.57
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 85% 1,525 1,502 $108K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 363 361 $19K

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 officialBERG, ELIJAH (PRESIDENT)
Same official

Other billing entities under BERG, ELIJAH

Full network →
ProviderLocationPaid
Melrose Wakefield Emergency Physicians, INC.Melrose, MA$1.81M
Greater Newburyport Emergency Physicians, INC.Newburyport, MA$1.07M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.