Physician
Upward Health of Massachusetts PC
Upward Health of Massachusetts PC was paid $16K by Medicaid between Oct 2020 and Jan 2024, across 18 billing codes. Its largest line is 99454, — 24% of everything it billed.
33Billing provider infoUPWARD HEALTH OF MASSACHUSETTS PC
BOSTON, MA 02109
BOSTON, MA 02109
33aNPI1427668169assigned 08/07/2020
33bProvider typeGeneral Practice Physician
28Total paid$16K
24GClaims2,832
24DCodes billed18
24AFirst – last monthOct 2020 – Jan 2024
Compared with peers
Next to other General Practice Physician providers in Massachusetts
Rank by total paid#25 of 33
Median peer was paid$76K
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 | |
|---|---|---|---|
| 2020 | 1,213 | $3K | |
| 2021 | 1,295 | $9K | |
| 2022 | 221 | $3K | |
| 2023 | 90 | $1K | |
| 2024incomplete | 13 | $374.91 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99454 | 24% | 622 | 622 | $4K | |
| 99457 | 15% | 609 | 609 | $2K | |
| 99441 | 11% | 239 | 116 | $2K | |
| 99348 | 8.3% | 90 | 84 | $1K | |
| 99335 | 8.3% | 127 | 125 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 7.1% | 185 | 183 | $1K |
| 99325 | 6.7% | 68 | 68 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 6.2% | 322 | 240 | $980.23 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 39 | 39 | $543.39 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 82 | 82 | $399.06 |
| 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 | 2.4% | 13 | 12 | $374.91 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 123 | 90 | $239.45 |
6 more codes
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 officialMIHALE, DENNIS (CEO)
| Provider | Location | Paid |
|---|---|---|
| Dennis Mihale MD of NY PC | Hauppauge, NY | $8.89M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.