Clinic
Right Choice Health Group LLC
Right Choice Health Group LLC was paid $11.85M by Medicaid between Jan 2018 and Feb 2023, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoRIGHT CHOICE HEALTH GROUP LLC
SPRINGFIELD, MA 01103
SPRINGFIELD, MA 01103
33aNPI1457729741assigned 09/03/2015
33bProvider typeMedical Specialty Clinic/Center
28Total paid$11.85M
24GClaims270,866
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Massachusetts
Rank by total paid#1 of 15
Median peer was paid$55K
This provider vs. median216×
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 | 39,877 | $1.82M | |
| 2019 | 64,262 | $2.86M | |
| 2020 | 67,580 | $2.83M | |
| 2021 | 49,194 | $2.05M | |
| 2022 | 45,195 | $2.06M | |
| 2023 | 4,758 | $233K |
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 | 51% | 87,313 | 35,577 | $6.01M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 23% | 74,378 | 35,291 | $2.77M |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 20% | 52,749 | 27,309 | $2.36M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 9,456 | 5,112 | $388K |
| 99406 | 1.7% | 41,941 | 15,505 | $205K | |
| 99205 | Prolong outpt/office vis | <1% | 532 | 515 | $71K |
| 81025 | <1% | 3,996 | 3,440 | $22K | |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 311 | 87 | $18K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 45 | 43 | $5K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 62 | 48 | $4K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 27 | 22 | $3K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 19 | 18 | $288.26 |
1 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 37 | $262.97 |
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 officialFARUK, OMAR (CEO)
| Provider | Location | Paid |
|---|---|---|
| Mindcare Agency PC | Springfield, MA | $498K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.