Mercy Family Practice PC

Mercy Family Practice PC was paid $33K by Medicaid between Feb 2018 and Aug 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.

33Billing provider infoMERCY FAMILY PRACTICE PC
GARDNER, MA 01440

33aNPI1295717106assigned 11/16/2005

33bProvider typeFamily Medicine Physician

28Total paid$33K

24GClaims820

24DCodes billed7

24AFirst – last monthFeb 2018 – Aug 2024

Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#259 of 744

Median peer was paid$10K

This provider vs. median3.1×

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	108	$5K
2019	200	$8K
2020	56	$2K
2021	181	$6K
2022	84	$3K
2023	102	$5K
2024incomplete	89	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	90%	653	604	$29K
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	4.7%	26	25	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	1.8%	27	27	$576.55
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.7%	53	53	$552.52
90686		<1%	36	36	$282.99
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	12	12	$245.40
36415	Collection of venous blood by venipuncture	0%	13	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 officialWORDEN, REBECCA (CFO)