Heywood Athol Inpatient Specialists PLLC
Heywood Athol Inpatient Specialists PLLC was paid $21K by Medicaid between Jan 2018 and Sep 2018, across 6 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 34% of everything it billed.
GARDNER, MA 01440
Next to other Internal Medicine Physician providers in Massachusetts
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 924 | $21K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99222 | Initial hospital care, per day, moderate complexity | 34% | 191 | 185 | $7K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 33% | 415 | 222 | $7K |
| 99219 | 22% | 98 | 97 | $5K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 11% | 99 | 95 | $2K |
| 1123F | 0% | 41 | 40 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 80 | 76 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lowell General Inpatient Specialists PLLC | Lowell, MA | $5.44M |
| New England Community Medical Services PLLC | Chelmsford, MA | $2.03M |
| Anna Jaques Bidco Inpatient Specialists PLLC | Newburyport, MA | $312K |
| Holy Family Inpatient Specialists PLLC | Methuen, MA | $201K |
| Holy Family Medical Specialty Practice PLLC | Methuen, MA | $138K |
| Anna Jaques Inpatient Specialists PLLC | Newburyport, MA | $71K |
| Whittier Pavilion Inpatient Specialists PLLC | Haverhill, MA | $51K |
| Todays Wellness PLLC | North Andover, MA | $29K |
| Winchester Hospital Inpatient Specialists PLLC | Winchester, MA | $12K |
| Lawrence General Community Medical Service PLLC | Chelmsford, MA | $9K |
| Commonwealth Medical Practice LLC | Dracut, MA | $6K |
| Whittier Rehabilitation Inpatient Specialists PLLC | Bradford, MA | $6K |
| Winchester Lahey Inpatient Specialists PLLC | Winchester, MA | $1K |
| Winchester Wound Care Specialists PLLC | Medford, MA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.