Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEW ENGLAND COMMUNITY MEDICAL SERVICES PLLC

NPI: 1427376516 · CHELMSFORD, MA 01824 · Internal Medicine Physician · NPI assigned 05/13/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JALEEL, MOHAMMED controls 14+ related entities in our dataset. Read more

$2.03M
Total Medicaid Paid
161,645
Total Claims
111,724
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJALEEL, MOHAMMED (PARTNER)
NPI Enumeration Date05/13/2010

Related Entities

Other providers sharing the same authorized official: JALEEL, MOHAMMED

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 17,286 $360K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 87,195 56,634 $1.19M
99308 Subsequent nursing facility care, per day, straightforward 42,049 31,355 $431K
99306 Prolong nursin fac eval 15m 6,524 6,339 $174K
99310 Prolong nursin fac eval 15m 6,271 5,262 $145K
99232 Subsequent hospital care, per day, moderate complexity 1,276 252 $23K
99233 Prolong inpt eval add15 m 1,000 319 $21K
99305 731 707 $14K
99307 2,034 1,606 $12K
99223 Prolong inpt eval add15 m 81 69 $5K
99497 173 157 $3K
99239 Hospital discharge day management, more than 30 minutes 111 111 $3K
99318 129 129 $2K
99304 102 101 $2K
99335 198 138 $1K
94760 5,828 3,893 $1K
1123F 693 240 $479.14
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 4,463 2,652 $199.07
3288F 457 306 $34.44
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 13 13 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 16 13 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 1,310 659 $0.00
1100F 172 125 $0.00
4040F 115 100 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 415 314 $0.00
G8482 Influenza immunization administered or previously received 100 88 $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 189 142 $0.00