Orchard Medical Associates LLC

Orchard Medical Associates LLC was paid $95K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoORCHARD MEDICAL ASSOCIATES LLC
INDIAN ORCHARD, MA 01151

33aNPI1326255985assigned 05/16/2007

33bProvider typeInternal Medicine Physician

28Total paid$95K

24GClaims3,637

24DCodes billed12

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#227 of 1,270

Median peer was paid$8K

This provider vs. median11×

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	1,014	$32K
2019	1,072	$29K
2020	567	$12K
2021	550	$8K
2022	354	$10K
2023	53	$2K
2024incomplete	27	$2K

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	55%	964	911	$52K
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	42%	672	650	$40K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.1%	108	105	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	54	41	$818.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	24	24	$470.35
82962		<1%	181	179	$42.69
1036F		0%	143	143	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	1,214	1,161	$0.00
90655		0%	16	16	$0.00
99072		0%	199	181	$0.00
90658		0%	49	49	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	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 officialEPSTEIN, KEVIN (M.D.)