Physician
Western Mass Neurology PC
Western Mass Neurology PC was paid $847K by Medicaid between Jan 2018 and Oct 2022, across 15 billing codes. Its largest line is J0585, Injection, onabotulinumtoxina, 1 unit — 40% of everything it billed.
33Billing provider infoWESTERN MASS NEUROLOGY PC
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
33aNPI1336668326assigned 09/12/2017
33bProvider typeNeurology Physician
28Total paid$847K
24GClaims11,008
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Neurology Physician providers in Massachusetts
Rank by total paid#9 of 101
Median peer was paid$10K
This provider vs. median85×
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 | 2,890 | $190K | |
| 2019 | 3,161 | $217K | |
| 2020 | 1,778 | $129K | |
| 2021 | 1,854 | $197K | |
| 2022 | 1,325 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 40% | 998 | 583 | $335K |
| 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 | 31% | 5,718 | 5,611 | $260K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 2,013 | 1,964 | $126K |
| 99205 | Prolong outpt/office vis | 8.6% | 692 | 692 | $73K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 878 | 860 | $23K |
| 64615 | 1.7% | 307 | 306 | $14K | |
| 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% | 96 | 96 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 84 | 81 | $2K |
| 95886 | <1% | 65 | 57 | $2K | |
| 64450 | <1% | 66 | 36 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | 12 | $1K |
| 64405 | <1% | 13 | 12 | $955.31 |
3 more codes
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 officialMELCHIONNA, EMILIO (OWNER/AUTHORIZED OFFICIAL)