Physician
Family Medical Associates, P.C.
Family Medical Associates, P.C. was paid $1.05M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoFAMILY MEDICAL ASSOCIATES, P.C.
CANTON, MA 02021
CANTON, MA 02021
33aNPI1386866754assigned 05/03/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.05M
24GClaims26,229
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#20 of 744
Median peer was paid$10K
This provider vs. median100×
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 | 4,206 | $203K | |
| 2019 | 3,901 | $182K | |
| 2020 | 4,381 | $197K | |
| 2021 | 4,815 | $205K | |
| 2022 | 4,750 | $205K | |
| 2023 | 2,540 | $50K | |
| 2024incomplete | 1,636 | $10K |
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 | 80% | 14,876 | 13,622 | $836K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 3,632 | 3,451 | $182K |
| 90688 | <1% | 654 | 652 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 377 | 376 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 36 | 36 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 89 | 88 | $4K |
| 81003 | <1% | 1,950 | 1,935 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 26 | 24 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 14 | 13 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,075 | 4,018 | $605.75 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 42 | 41 | $516.68 |
| 96127 | <1% | 368 | 368 | $284.80 |
4 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 13 | $253.55 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 38 | $226.99 |
| G0008 | Administration of influenza virus vaccine | <1% | 26 | $19.03 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 13 | $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 officialLOWNEY, TIMOTHY (PRESIDENT)