Clinic
Heywood Affiliated Medical Group INC.
Heywood Affiliated Medical Group INC. was paid $734K by Medicaid between Jan 2018 and Nov 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoHEYWOOD AFFILIATED MEDICAL GROUP INC.
GARDNER, MA 01440
GARDNER, MA 01440
33aNPI1215304589assigned 08/21/2015
33bProvider typeUrgent Care Clinic/Center
28Total paid$734K
24GClaims27,108
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Urgent Care Clinic/Center providers in Massachusetts
Rank by total paid#28 of 117
Median peer was paid$225K
This provider vs. median3.3×
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 | 2,206 | $82K | |
| 2019 | 1,752 | $66K | |
| 2020 | 1,709 | $66K | |
| 2021 | 6,064 | $158K | |
| 2022 | 8,224 | $188K | |
| 2023 | 7,153 | $174K |
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 | 43% | 6,029 | 5,896 | $314K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 6,691 | 6,525 | $272K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 14% | 3,865 | 3,757 | $103K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.5% | 424 | 410 | $11K |
| 94760 | 1.4% | 8,886 | 8,631 | $11K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 164 | 163 | $10K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 95 | 87 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 659 | 644 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 133 | 129 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | 28 | $436.64 |
| 81002 | <1% | 25 | 24 | $44.25 | |
| 99000 | 0% | 109 | 108 | $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 officialSULLIVAN, THOMAS (CEO)
Parent organizationHEYWOOD AFFILIATED MEDICAL GROUP INC.
| Provider | Location | Paid |
|---|---|---|
| Henry Heywood Memorial Hospital | Gardner, MA | $54.50M |
| Athol Memorial Hospital Incorporated | Athol, MA | $30.77M |
| Heywood Medical Group INC. | Gardner, MA | $4.22M |
| Heywood Medical Group INC | Athol, MA | $436K |
| Athol Memorial Hospital Incorporated | Athol, MA | $162K |
| Athol Memorial Hospital Incorporated | Athol, MA | $52K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.