Physician
New England Hospitalists PC
New England Hospitalists PC was paid $533K by Medicaid between Jan 2018 and Sep 2024, across 18 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 29% of everything it billed.
33Billing provider infoNEW ENGLAND HOSPITALISTS PC
WORCESTER, MA 01608
WORCESTER, MA 01608
33aNPI1487803052assigned 09/18/2008
33bProvider typeNephrology Physician
28Total paid$533K
24GClaims19,231
24DCodes billed18
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Nephrology Physician providers in Massachusetts
Rank by total paid#9 of 46
Median peer was paid$28K
This provider vs. median19×
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 | 6,733 | $189K | |
| 2019 | 6,698 | $162K | |
| 2020 | 2,842 | $97K | |
| 2021 | 1,142 | $41K | |
| 2022 | 1,166 | $31K | |
| 2023 | 295 | $6K | |
| 2024incomplete | 355 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 29% | 4,119 | 2,119 | $155K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 18% | 3,091 | 1,970 | $95K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,242 | 1,471 | $91K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 2,502 | 1,057 | $57K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.6% | 3,291 | 1,219 | $51K |
| 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 | 5.8% | 516 | 375 | $31K |
| 99223 | Prolong inpt eval add15 m | 2.1% | 262 | 239 | $11K |
| 99310 | Prolong nursin fac eval 15m | 1.9% | 264 | 256 | $10K |
| 80305 | 1.4% | 1,030 | 763 | $7K | |
| 99306 | Prolong nursin fac eval 15m | 1.1% | 113 | 107 | $6K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 225 | 204 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 61 | 47 | $4K |
6 more codes
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 286 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 124 | $3K |
| 99305 | <1% | 37 | $2K | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | <1% | 679 | $74.87 |
| 1123F | <1% | 217 | $21.53 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 172 | $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 officialFAJANA, ADEKUNLE (CEO)