Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Quincy › NPI 1255051850
Physician

Gather Health Primary Care of Massachusetts PC

Gather Health Primary Care of Massachusetts PC was paid $15K by Medicaid between Jan 2024 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoGATHER HEALTH PRIMARY CARE OF MASSACHUSETTS PC
QUINCY, MA 02169
33aNPI1255051850assigned 09/01/2022
28Total paid$15K
24GClaims2,170
24DCodes billed17
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#340 of 744
Median peer was paid$10K
This provider vs. median1.4×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2024incomplete2,170$15K
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 42% 192 179 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 196 182 $5K
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 7.1% 12 12 $1K
G0136 Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months 6.3% 229 226 $942.49
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.8% 12 12 $727.44
99490 Ccm add 20min 3.5% 24 24 $534.84
G0444 Annual depression screening, 5 to 15 minutes 2.4% 305 303 $359.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 1.9% 109 109 $289.16
3074F 0% 143 137 $0.00
3079F 0% 80 77 $0.00
1125F 0% 76 73 $0.00
3075F 0% 58 58 $0.00
5 more codes
1126F 0% 55 $0.00
83880 0% 14 $0.00
3078F 0% 299 $0.00
1160F 0% 246 $0.00
3077F 0% 120 $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 officialLOUGHNANE, JOHN (INCORPORATOR &CHIEF MEDICAL OFFICER)