Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Lawrence › NPI 1295013191
Physician

New England Primary Care Associates P.C.

New England Primary Care Associates P.C. was paid $90K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoNEW ENGLAND PRIMARY CARE ASSOCIATES P.C.
LAWRENCE, MA 01843
33aNPI1295013191assigned 07/26/2011
28Total paid$90K
24GClaims2,503
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#157 of 744
Median peer was paid$10K
This provider vs. median8.6×

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$4.0K2018201920202021202220232024
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
2018375$16K
2019365$14K
2020435$17K
2021394$15K
2022409$19K
2023337$8K
2024incomplete188$2K
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 67% 1,465 1,325 $60K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31% 854 735 $28K
90756 1.2% 140 110 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 16 14 $442.83
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 12 12 $156.14
G0008 Administration of influenza virus vaccine <1% 16 12 $14.24

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 officialRUSTUM, RAMI (PRESIDENT)
Same official

Other billing entities under RUSTUM, RAMI

Full network →
ProviderLocationPaid
Merrimack Valley Pain Management Associates, P.C.Lawrence, MA$123K

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