Physician
Mendes Medical Assoc. PC
Mendes Medical Assoc. PC was paid $305K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.
33Billing provider infoMENDES MEDICAL ASSOC. PC
ROSLINDALE, MA 02131
ROSLINDALE, MA 02131
33aNPI1225212335assigned 12/26/2007
33bProvider typeInternal Medicine Physician
28Total paid$305K
24GClaims19,301
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#116 of 1,270
Median peer was paid$8K
This provider vs. median36×
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 | 6,289 | $92K | |
| 2019 | 5,467 | $84K | |
| 2020 | 6,169 | $101K | |
| 2021 | 1,332 | $27K | |
| 2024incomplete | 44 | $61.52 |
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 | 84% | 4,667 | 3,950 | $256K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 581 | 504 | $26K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5.4% | 862 | 685 | $16K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 27 | 27 | $3K |
| 81001 | <1% | 482 | 476 | $2K | |
| 99443 | <1% | 13 | 13 | $395.07 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 14 | $318.47 |
| 99497 | <1% | 14 | 14 | $292.71 | |
| 93000 | <1% | 31 | 30 | $287.88 | |
| 99442 | <1% | 13 | 13 | $270.53 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 349 | 341 | $177.45 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 37 | 37 | $174.72 |
24 more codes
| 81002 | <1% | 365 | $105.38 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 745 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 798 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,470 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,245 | $0.00 |
| 3288F | 0% | 501 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 732 | $0.00 |
| 4040F | 0% | 319 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 674 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 30 | $0.00 |
| 1090F | 0% | 32 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 44 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 12 | $0.00 |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 1,357 | $0.00 |
| 1036F | 0% | 1,509 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 475 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 421 | $0.00 |
| 3017F | 0% | 794 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 195 | $0.00 |
| 1123F | 0% | 357 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 79 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 27 | $0.00 |
| 99058 | 0% | 17 | $0.00 | |
| 3014F | 0% | 13 | $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 officialMENDES, ANTONIO (MEDICAL DIRECTOR)