Physician
Metrowest Emergency Physicians INC
Metrowest Emergency Physicians INC was paid $4.78M by Medicaid between Jan 2018 and May 2023, across 10 billing codes. Its largest line is 99284, emergency room visit (serious) — 50% of everything it billed.
33Billing provider infoMETROWEST EMERGENCY PHYSICIANS INC
FRAMINGHAM, MA 01702
FRAMINGHAM, MA 01702
33aNPI1497867915assigned 08/31/2006
33bProvider typeEmergency Medicine Physician
28Total paid$4.78M
24GClaims64,298
24DCodes billed10
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Emergency Medicine Physician providers in Massachusetts
Rank by total paid#13 of 618
Median peer was paid$8K
This provider vs. median578×
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 | 12,505 | $897K | |
| 2019 | 14,241 | $961K | |
| 2020 | 9,945 | $767K | |
| 2021 | 10,848 | $830K | |
| 2022 | 12,296 | $961K | |
| 2023 | 4,463 | $365K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 50% | 30,352 | 30,005 | $2.38M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 38% | 18,792 | 18,577 | $1.82M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 10% | 11,291 | 11,240 | $493K |
| 99220 | <1% | 303 | 296 | $40K | |
| 99223 | Prolong inpt eval add15 m | <1% | 249 | 242 | $32K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 105 | 104 | $13K |
| 99226 | <1% | 134 | 87 | $9K | |
| 93042 | <1% | 360 | 347 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 25 | 12 | $720.96 |
| 99053 | <1% | 2,687 | 2,649 | $402.94 |
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 officialSOTIR, LISA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Metrowest Emergency Physicians INC | Natick, MA | $32K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.