Fallon, Jonathan

Fallon, Jonathan was paid $2K by Medicaid between Oct 2022 and Oct 2022, across 2 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 58% of everything it billed.

33Billing provider infoFALLON, JONATHAN
WEST HATFIELD, MA 01088

33aNPI1396955738assigned 05/23/2007

33bProvider typeOrthopaedic Surgery Physician

28Total paid$2K

24GClaims27

24DCodes billed2

24AFirst – last monthOct 2022 – Oct 2022

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Massachusetts

Rank by total paid#127 of 166

Median peer was paid$10K

This provider vs. median0.2×

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
2022	27	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	58%	13	13	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	14	13	$855.68

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.