Wachusett Emergency Physicians, PC

Wachusett Emergency Physicians, PC was paid $1.88M by Medicaid between Jan 2018 and Mar 2020, across 10 billing codes. Its largest line is 99284, emergency room visit (serious) — 47% of everything it billed.

33Billing provider infoWACHUSETT EMERGENCY PHYSICIANS, PC
LEOMINSTER, MA 01453

33aNPI1376553693assigned 08/09/2006

33bProvider typeEmergency Medicine Physician

28Total paid$1.88M

24GClaims36,505

24DCodes billed10

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#21 of 618

Median peer was paid$8K

This provider vs. median227×

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	15,226	$840K
2019	17,209	$833K
2020	4,070	$208K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	47%	13,151	12,996	$875K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	36%	8,285	8,224	$684K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	8.6%	4,417	4,391	$161K
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	7.5%	2,739	2,722	$140K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	4,699	4,486	$13K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	91	91	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	49	49	$2K
99053		<1%	2,691	2,634	$1K
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	0%	12	12	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	371	366	$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 officialRYAN, BONNIE (PRESIDENT)