Behavioral
Hallmark Health System INC
Hallmark Health System INC was paid $1.79M by Medicaid between Jan 2018 and Sep 2024, across 115 billing codes. Its largest line is 99283, emergency room visit (moderate) — 14% of everything it billed.
33Billing provider infoHALLMARK HEALTH SYSTEM INC
MEDFORD, MA 02155
MEDFORD, MA 02155
33aNPI1275673667assigned 02/07/2007
33bProvider typeMental Health Counselor
28Total paid$1.79M
24GClaims35,076
24DCodes billed115
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Mental Health Counselor providers in Massachusetts
Rank by total paid#29 of 597
Median peer was paid$53K
This provider vs. median34×
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 | 23,526 | $1.35M | |
| 2019 | 7,142 | $339K | |
| 2020 | 1,463 | $32K | |
| 2021 | 1,485 | $44K | |
| 2022 | 884 | $20K | |
| 2023 | 550 | $4K | |
| 2024incomplete | 26 | $563.15 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 14% | 1,271 | 1,206 | $244K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 849 | 794 | $190K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 9.2% | 718 | 683 | $165K |
| 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 | 7.4% | 1,472 | 1,394 | $132K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 885 | 841 | $95K |
| 96361 | Intravenous infusion, hydration; each additional hour | 5.3% | 299 | 286 | $94K |
| 70450 | Computed tomography, head or brain; without contrast material | 4.4% | 140 | 136 | $79K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.1% | 1,132 | 655 | $74K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 3.8% | 379 | 373 | $69K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.8% | 2,662 | 1,972 | $50K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.6% | 66 | 65 | $46K |
| 76830 | Ultrasound, transvaginal | 2.3% | 159 | 156 | $42K |
103 more codes
| 59025 | Fetal non-stress test | 2.2% | 176 | $40K |
| 99232 | Hospital visit by a doctor, follow-up day | 2.1% | 1,714 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 234 | $33K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 1.8% | 170 | $33K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 1.8% | 151 | $32K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.3% | 544 | $24K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 1.2% | 83 | $21K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 498 | $20K |
| 71046 | Radiologic examination, chest; 2 views | 1.1% | 612 | $19K |
| 80053 | Comprehensive metabolic panel | 1.0% | 1,660 | $18K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 602 | $16K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 596 | $16K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,891 | $14K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,962 | $14K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 332 | $13K |
| 87650 | <1% | 600 | $13K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 468 | $8K |
| 99223 | Prolong inpt eval add15 m | <1% | 106 | $8K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 248 | $8K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 219 | $7K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 851 | $7K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 31 | $6K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 354 | $6K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 253 | $6K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 19 | $5K |
| 83735 | <1% | 716 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 26 | $4K |
| 73630 | <1% | 122 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 104 | $4K |
| 84702 | <1% | 275 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $4K |
| 85027 | <1% | 575 | $4K | |
| 84484 | <1% | 321 | $4K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 318 | $4K |
| 12001 | <1% | 12 | $3K | |
| 87070 | <1% | 368 | $3K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 447 | $3K |
| 81025 | <1% | 400 | $3K | |
| 81001 | <1% | 782 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 242 | $2K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 12 | $2K |
| 73610 | <1% | 68 | $2K | |
| 80061 | Lipid panel | <1% | 419 | $2K |
| 83690 | <1% | 261 | $2K | |
| 87186 | <1% | 189 | $2K | |
| 82553 | <1% | 168 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $1K |
| 82150 | <1% | 209 | $1K | |
| 87077 | <1% | 226 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 225 | $1K |
| 80076 | <1% | 273 | $1K | |
| 99221 | <1% | 25 | $1K | |
| 84439 | <1% | 116 | $1K | |
| 82607 | <1% | 65 | $1K | |
| 86592 | <1% | 174 | $966.07 | |
| 82948 | <1% | 267 | $930.98 | |
| 81003 | <1% | 385 | $871.39 | |
| 83655 | <1% | 66 | $848.10 | |
| 99307 | <1% | 26 | $765.31 | |
| 87400 | <1% | 28 | $661.36 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 160 | $498.71 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 78 | $435.47 |
| 86901 | <1% | 137 | $427.02 | |
| 86900 | <1% | 137 | $427.02 | |
| 80050 | General health panel | <1% | 25 | $423.50 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 35 | $413.35 |
| 82728 | <1% | 28 | $388.50 | |
| 99318 | <1% | 25 | $379.52 | |
| 85652 | <1% | 119 | $332.76 | |
| 87510 | <1% | 16 | $330.88 | |
| 87480 | <1% | 16 | $330.88 | |
| 87660 | <1% | 16 | $330.88 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 14 | $322.32 |
| 73562 | <1% | 14 | $315.32 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 66 | $309.99 |
| 86803 | <1% | 25 | $299.75 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 16 | $296.04 |
| 86140 | <1% | 54 | $288.36 | |
| 85379 | <1% | 26 | $273.00 | |
| 82550 | <1% | 271 | $265.16 | |
| 87205 | <1% | 53 | $237.60 | |
| 86850 | <1% | 105 | $163.50 | |
| 82947 | <1% | 62 | $119.65 | |
| 84703 | <1% | 13 | $100.75 | |
| 73130 | <1% | 13 | $78.83 | |
| 82043 | <1% | 12 | $66.84 | |
| 82570 | <1% | 12 | $64.08 | |
| 82950 | <1% | 12 | $58.68 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $43.05 |
| 82565 | <1% | 16 | $28.64 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 40 | $27.02 |
| J2704 | Injection, propofol, 10 mg | 0% | 98 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 249 | $0.00 |
| 80320 | 0% | 117 | $0.00 | |
| 96375 | Therapeutic injection; each additional sequential IV push | 0% | 164 | $0.00 |
| 94760 | 0% | 46 | $0.00 | |
| 94761 | 0% | 62 | $0.00 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 0% | 14 | $0.00 |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | 0% | 27 | $0.00 |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 180 | $0.00 |
| A4649 | Surgical supply; miscellaneous | 0% | 74 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 46 | $0.00 |
| 84520 | 0% | 14 | $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 officialWHIPPLE, CHARLES (GENERAL COUNSEL)
Parent organizationHALLMARK HEALTH CORPORATION
| Provider | Location | Paid |
|---|---|---|
| Hallmark Health | Medford, MA | $902K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.