Merrimack Urology Assoc, PC

Merrimack Urology Assoc, PC was paid $145K by Medicaid between Jan 2018 and Feb 2021, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.

33Billing provider infoMERRIMACK UROLOGY ASSOC, PC
CHELMSFORD, MA 01824

33aNPI1316976269assigned 07/02/2006

33bProvider typeUrology Physician

28Total paid$145K

24GClaims8,476

24DCodes billed12

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other Urology Physician providers in Massachusetts

Rank by total paid#9 of 65

Median peer was paid$4K

This provider vs. median39×

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	3,363	$49K
2019	3,169	$57K
2020	1,828	$35K
2021	116	$3K

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	81%	4,363	4,242	$118K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.7%	243	243	$13K
81001		2.4%	2,189	2,065	$3K
52000		1.8%	29	29	$3K
51798		1.8%	310	309	$3K
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	1.1%	26	25	$2K
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	<1%	13	12	$1K
81003		<1%	980	949	$1K
87086	Culture, bacterial; quantitative colony count, urine	<1%	251	237	$867.37
99442		<1%	43	41	$406.44
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	13	$285.20
84153		<1%	16	16	$100.22

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 officialEDELSTEIN, ROBERT (PRESIDENT)