Physician
North Quabbin Family Physicians, PC
North Quabbin Family Physicians, PC was paid $895K by Medicaid between Jan 2018 and Nov 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoNORTH QUABBIN FAMILY PHYSICIANS, PC
ATHOL, MA 01331
ATHOL, MA 01331
33aNPI1457302721assigned 05/12/2006
33bProvider typeFamily Medicine Physician
28Total paid$895K
24GClaims39,076
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#24 of 744
Median peer was paid$10K
This provider vs. median86×
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 | 9,323 | $158K | |
| 2019 | 7,927 | $155K | |
| 2020 | 5,755 | $107K | |
| 2021 | 5,556 | $129K | |
| 2022 | 5,401 | $151K | |
| 2023 | 3,679 | $116K | |
| 2024incomplete | 1,435 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 63% | 13,795 | 12,637 | $565K |
| 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 | 29% | 4,579 | 4,289 | $259K |
| 90682 | 1.8% | 492 | 467 | $16K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 334 | 306 | $14K |
| 99051 | 1.1% | 764 | 731 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 448 | 437 | $7K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,750 | 1,685 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 686 | 667 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 30 | 29 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | 24 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 62 | 58 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 15 | $1K |
18 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 45 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 81003 | <1% | 1,078 | $1K | |
| 99000 | <1% | 5,419 | $951.78 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,472 | $711.87 |
| 96127 | <1% | 112 | $614.60 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 38 | $379.99 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 39 | $368.63 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | $364.98 |
| 90662 | <1% | 14 | $139.88 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 15 | $94.89 |
| 99072 | <1% | 482 | $91.15 | |
| G0008 | Administration of influenza virus vaccine | <1% | 177 | $90.44 |
| 94760 | <1% | 61 | $81.72 | |
| 90673 | <1% | 19 | $74.71 | |
| 2000F | 0% | 2,045 | $0.00 | |
| 2001F | 0% | 2,044 | $0.00 | |
| M1168 | Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period | 0% | 12 | $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 officialSOULE-REGINE, TIMOTHY (VICE-PRESIDENT)