Physician
Stephen L Payne, MD, PC
Stephen L Payne, MD, PC was paid $111K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoSTEPHEN L PAYNE, MD, PC
WILLIAMSTOWN, MA 01267
WILLIAMSTOWN, MA 01267
33aNPI1457518193assigned 05/20/2008
33bProvider typeFamily Medicine Physician
28Total paid$111K
24GClaims9,218
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#141 of 744
Median peer was paid$10K
This provider vs. median11×
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 | 1,513 | $21K | |
| 2019 | 1,453 | $18K | |
| 2020 | 1,306 | $18K | |
| 2021 | 1,398 | $15K | |
| 2022 | 1,050 | $13K | |
| 2023 | 1,085 | $10K | |
| 2024incomplete | 1,413 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 71% | 2,340 | 2,211 | $79K |
| 99490 | Ccm add 20min | 19% | 5,927 | 5,926 | $21K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.3% | 278 | 266 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 54 | 51 | $2K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 222 | 203 | $622.31 |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 41 | 41 | $318.36 |
| 99439 | <1% | 250 | 250 | $163.77 | |
| 90688 | <1% | 14 | 14 | $17.84 | |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 14 | 14 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 78 | 52 | $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 officialPAYNE, STEPHEN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Northwest Medical Surgical Associates INC | St Albans, VT | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.