Clinic
Springfield Medical Associates, INC
Springfield Medical Associates, INC was paid $389K by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoSPRINGFIELD MEDICAL ASSOCIATES, INC
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
33aNPI1386661148assigned 07/17/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$389K
24GClaims28,551
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Massachusetts
Rank by total paid#7 of 16
Median peer was paid$198K
This provider vs. median2.0×
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 | 6,856 | $92K | |
| 2019 | 6,864 | $71K | |
| 2020 | 3,887 | $47K | |
| 2021 | 4,813 | $44K | |
| 2022 | 4,482 | $70K | |
| 2023 | 1,040 | $40K | |
| 2024incomplete | 609 | $24K |
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 | 75% | 7,243 | 7,106 | $292K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,599 | 1,513 | $54K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.8% | 743 | 736 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.2% | 1,182 | 1,164 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,093 | 1,069 | $3K |
| 95251 | <1% | 195 | 192 | $3K | |
| 84450 | <1% | 1,675 | 1,645 | $3K | |
| 84460 | <1% | 1,647 | 1,616 | $3K | |
| 86140 | <1% | 996 | 975 | $2K | |
| 80051 | <1% | 959 | 935 | $2K | |
| 82947 | <1% | 1,928 | 1,885 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 344 | 343 | $2K |
22 more codes
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 618 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,340 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 30 | $2K |
| 82565 | <1% | 1,096 | $2K | |
| 85651 | <1% | 1,007 | $1K | |
| 82040 | <1% | 1,049 | $1K | |
| 80053 | Comprehensive metabolic panel | <1% | 412 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32 | $912.88 |
| ATP08 | <1% | 366 | $663.48 | |
| 80305 | <1% | 86 | $492.29 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 52 | $271.99 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $223.39 |
| 90686 | <1% | 14 | $124.91 | |
| 82043 | <1% | 40 | $105.26 | |
| ATP17 | <1% | 30 | $87.76 | |
| 82570 | <1% | 37 | $83.14 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 32 | $82.09 |
| 80061 | Lipid panel | <1% | 13 | $76.80 |
| G0008 | Administration of influenza virus vaccine | <1% | 12 | $64.89 |
| 83721 | <1% | 12 | $56.25 | |
| ATP14 | <1% | 54 | $47.61 | |
| 99072 | 0% | 603 | $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 officialCOPPOLA, MICHAEL (PRESIDENT)