Newton Wellesley Emergency Medicine Specialist, P .C.

Newton Wellesley Emergency Medicine Specialist, P .C. was paid $2.01M by Medicaid between Jan 2018 and Dec 2023, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 67% of everything it billed.

33Billing provider infoNEWTON WELLESLEY EMERGENCY MEDICINE SPECIALIST, P .C.
NEWTON, MA 02462

33aNPI1346355526assigned 08/20/2006

33bProvider typeEmergency Medicine Physician

28Total paid$2.01M

24GClaims26,730

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#20 of 618

Median peer was paid$8K

This provider vs. median244×

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	3,595	$229K
2019	3,108	$216K
2020	2,731	$205K
2021	4,809	$375K
2022	5,747	$466K
2023	6,740	$524K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	67%	17,166	16,990	$1.34M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	33%	9,144	9,058	$656K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	343	341	$15K
93042		<1%	12	12	$37.80
G9744	Patient not eligible due to active diagnosis of hypertension	0%	65	65	$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 officialLEMONS, MARK (PRESIDENT)