Managed care
Lawrence Family Doctors LLC
Lawrence Family Doctors LLC was paid $1.84M by Medicaid between Jan 2018 and Oct 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoLAWRENCE FAMILY DOCTORS LLC
LAWRENCE, MA 01840
LAWRENCE, MA 01840
33aNPI1295853927assigned 03/27/2007
33bProvider typeHealth Maintenance Organization
28Total paid$1.84M
24GClaims53,913
24DCodes billed40
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Health Maintenance Organization providers in Massachusetts
Rank by total paid#2 of 11
Median peer was paid$658K
This provider vs. median2.8×
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 | 7,918 | $382K | |
| 2019 | 9,684 | $347K | |
| 2020 | 7,182 | $295K | |
| 2021 | 8,887 | $332K | |
| 2022 | 8,690 | $339K | |
| 2023 | 6,557 | $102K | |
| 2024incomplete | 4,995 | $43K |
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 | 47% | 16,813 | 15,596 | $866K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 12,950 | 11,213 | $537K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 7.5% | 1,443 | 1,417 | $138K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 6.1% | 1,301 | 1,268 | $113K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.4% | 1,483 | 1,465 | $26K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.3% | 4,694 | 4,621 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 277 | 277 | $21K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 544 | 532 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 822 | 785 | $14K |
| 90756 | <1% | 819 | 812 | $14K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 184 | 177 | $11K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 849 | 846 | $8K |
28 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 775 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 129 | $7K |
| 82962 | <1% | 5,532 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 117 | $4K |
| 96127 | <1% | 561 | $4K | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 1,027 | $4K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,070 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 28 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 288 | $3K |
| 90658 | <1% | 270 | $2K | |
| 99497 | <1% | 119 | $2K | |
| 99443 | <1% | 50 | $2K | |
| 99442 | <1% | 71 | $1K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 398 | $924.18 |
| G0008 | Administration of influenza virus vaccine | <1% | 586 | $887.14 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 55 | $738.77 |
| 81000 | <1% | 293 | $724.44 | |
| 90674 | <1% | 60 | $432.90 | |
| 90688 | <1% | 45 | $356.80 | |
| 90686 | <1% | 33 | $304.48 | |
| 90656 | <1% | 17 | $255.00 | |
| 81025 | <1% | 25 | $154.40 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 110 | $118.39 |
| 86580 | <1% | 15 | $89.32 | |
| 90661 | <1% | 19 | $36.85 | |
| 82948 | <1% | 13 | $34.19 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 13 | $0.00 |
| 1101F | 0% | 15 | $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 officialGORN, JOEL (MEDICAL DIRECTOR)