Physician
Essex Neurological Associates PC
Essex Neurological Associates PC was paid $491K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoESSEX NEUROLOGICAL ASSOCIATES PC
PEABODY, MA 01960
PEABODY, MA 01960
33aNPI1386661122assigned 07/17/2006
33bProvider typeNeurology Physician
28Total paid$491K
24GClaims9,751
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in Massachusetts
Rank by total paid#13 of 101
Median peer was paid$10K
This provider vs. median49×
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 | 2,150 | $111K | |
| 2019 | 1,717 | $93K | |
| 2020 | 1,195 | $66K | |
| 2021 | 1,174 | $60K | |
| 2022 | 1,195 | $59K | |
| 2023 | 1,169 | $54K | |
| 2024incomplete | 1,151 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 50% | 5,298 | 5,251 | $245K |
| 99205 | Prolong outpt/office vis | 29% | 1,399 | 1,396 | $143K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,653 | 1,644 | $56K |
| 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 | 6.0% | 345 | 344 | $29K |
| 64615 | 1.4% | 105 | 105 | $7K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 107 | 106 | $6K |
| 95816 | <1% | 82 | 80 | $2K | |
| 93042 | <1% | 698 | 675 | $2K | |
| 95819 | <1% | 48 | 48 | $1K | |
| 99441 | <1% | 16 | 13 | $120.28 |
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 officialPHELPS, DEBORAH (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Medical Eye Center PA | Olney, MD | $30K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.