New England Community Medical Services PLLC
New England Community Medical Services PLLC was paid $2.03M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 59% of everything it billed.
CHELMSFORD, MA 01824
Next to other Internal Medicine Physician providers in Massachusetts
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 23,667 | $241K | |
| 2019 | 20,489 | $248K | |
| 2020 | 22,495 | $287K | |
| 2021 | 26,204 | $296K | |
| 2022 | 25,197 | $286K | |
| 2023 | 26,307 | $315K | |
| 2024incomplete | 17,286 | $360K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 59% | 87,195 | 56,634 | $1.19M |
| 99308 | Subsequent nursing facility care, per day, straightforward | 21% | 42,049 | 31,355 | $431K |
| 99306 | Prolong nursin fac eval 15m | 8.6% | 6,524 | 6,339 | $174K |
| 99310 | Prolong nursin fac eval 15m | 7.1% | 6,271 | 5,262 | $145K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.1% | 1,276 | 252 | $23K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.0% | 1,000 | 319 | $21K |
| 99305 | <1% | 731 | 707 | $14K | |
| 99307 | <1% | 2,034 | 1,606 | $12K | |
| 99223 | Prolong inpt eval add15 m | <1% | 81 | 69 | $5K |
| 99497 | <1% | 173 | 157 | $3K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 111 | 111 | $3K |
| 99318 | <1% | 129 | 129 | $2K |
14 more codes
| 99304 | <1% | 102 | $2K | |
| 99335 | <1% | 198 | $1K | |
| 94760 | <1% | 5,828 | $1K | |
| 1123F | <1% | 693 | $479.14 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,463 | $199.07 |
| 3288F | <1% | 457 | $34.44 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 13 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 16 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 1,310 | $0.00 |
| 1100F | 0% | 172 | $0.00 | |
| 4040F | 0% | 115 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 415 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 100 | $0.00 |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 189 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lowell General Inpatient Specialists PLLC | Lowell, MA | $5.44M |
| Anna Jaques Bidco Inpatient Specialists PLLC | Newburyport, MA | $312K |
| Holy Family Inpatient Specialists PLLC | Methuen, MA | $201K |
| Holy Family Medical Specialty Practice PLLC | Methuen, MA | $138K |
| Anna Jaques Inpatient Specialists PLLC | Newburyport, MA | $71K |
| Whittier Pavilion Inpatient Specialists PLLC | Haverhill, MA | $51K |
| Todays Wellness PLLC | North Andover, MA | $29K |
| Heywood Athol Inpatient Specialists PLLC | Gardner, MA | $21K |
| Winchester Hospital Inpatient Specialists PLLC | Winchester, MA | $12K |
| Lawrence General Community Medical Service PLLC | Chelmsford, MA | $9K |
| Commonwealth Medical Practice LLC | Dracut, MA | $6K |
| Whittier Rehabilitation Inpatient Specialists PLLC | Bradford, MA | $6K |
| Winchester Lahey Inpatient Specialists PLLC | Winchester, MA | $1K |
| Winchester Wound Care Specialists PLLC | Medford, MA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.