Physician
Beth Israel Lahey Health Primary Care, INC.
Beth Israel Lahey Health Primary Care, INC. was paid $469K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoBETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC.
BEVERLY, MA 01915
BEVERLY, MA 01915
33aNPI1508244195assigned 05/14/2015
33bProvider typeInternal Medicine Physician
28Total paid$469K
24GClaims18,754
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#82 of 1,270
Median peer was paid$8K
This provider vs. median56×
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 | 1,640 | $55K | |
| 2019 | 1,606 | $49K | |
| 2020 | 3,125 | $81K | |
| 2021 | 5,356 | $141K | |
| 2022 | 3,351 | $99K | |
| 2023 | 2,474 | $36K | |
| 2024incomplete | 1,202 | $8K |
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 | 36% | 5,937 | 5,786 | $168K |
| 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 | 35% | 5,208 | 4,927 | $163K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 26% | 5,799 | 5,732 | $122K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.3% | 1,102 | 1,088 | $11K |
| 99443 | <1% | 96 | 85 | $2K | |
| 90686 | <1% | 32 | 31 | $420.02 | |
| 0004A | <1% | 12 | 12 | $412.83 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 152 | 145 | $391.84 |
| 99442 | <1% | 39 | 32 | $368.05 | |
| 99490 | Ccm add 20min | <1% | 39 | 39 | $255.21 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 109 | 108 | $224.96 |
| 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% | 47 | 45 | $223.81 |
6 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 70 | $218.06 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $93.08 |
| 94760 | <1% | 13 | $3.43 | |
| 99406 | 0% | 15 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 25 | $0.00 |
| 99000 | 0% | 46 | $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 officialBARKER, ALEX (PRESIDENT)
Parent organizationBETH ISRAEL LAHEY HEALTH INC
| Provider | Location | Paid |
|---|---|---|
| Beth Israel Lahey Health Specialty Care, INC. | Gloucester, MA | $4.68M |
| Beth Israel Lahey Health Primary Care, INC. | Gloucester, MA | $276K |
| Beth Israel Lahey Health Primary Care, INC. | Danvers, MA | $202K |
| Beth Israel Lahey Health Primary Care, INC. | Haverhill, MA | $84K |
| Beth Israel Lahey Health Primary Care, INC. | Lynnfield, MA | $45K |
| Beth Israel Lahey Health Primary Care, INC. | Lynnfield, MA | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.