VHM Services, INC.
VHM Services, INC. was paid $1.96M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
FRAMINGHAM, MA 01702
Next to other Pediatrics Physician providers in Massachusetts
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,727 | $356K | |
| 2019 | 10,296 | $347K | |
| 2020 | 7,561 | $276K | |
| 2021 | 8,424 | $323K | |
| 2022 | 13,457 | $284K | |
| 2023 | 19,628 | $205K | |
| 2024incomplete | 11,988 | $167K |
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 | 27% | 10,353 | 9,812 | $523K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 9,464 | 8,983 | $354K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 4,836 | 4,672 | $244K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,994 | 3,970 | $207K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 1,853 | 1,839 | $94K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.6% | 8,563 | 8,382 | $90K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.5% | 10,552 | 10,063 | $68K |
| 99223 | Prolong inpt eval add15 m | 2.8% | 805 | 787 | $55K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 930 | 923 | $54K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.8% | 1,414 | 589 | $54K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.4% | 2,127 | 819 | $47K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.3% | 1,120 | 483 | $44K |
29 more codes
| 99188 | 1.3% | 954 | $26K | |
| 99381 | 1.2% | 383 | $23K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 190 | $21K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 138 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 240 | $10K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 94 | $6K |
| 20610 | <1% | 189 | $6K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 103 | $5K |
| 99443 | <1% | 203 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 144 | $3K |
| 99442 | <1% | 147 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 165 | $2K |
| 90686 | <1% | 152 | $2K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 315 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 40 | $1K |
| 99441 | <1% | 88 | $963.96 | |
| 90715 | <1% | 17 | $682.43 | |
| 82962 | <1% | 177 | $134.01 | |
| 1160F | 0% | 4,636 | $0.00 | |
| 3725F | 0% | 1,533 | $0.00 | |
| 1159F | 0% | 4,620 | $0.00 | |
| 3078F | 0% | 2,296 | $0.00 | |
| 3008F | 0% | 5,054 | $0.00 | |
| 3074F | 0% | 2,442 | $0.00 | |
| 1126F | 0% | 53 | $0.00 | |
| 1125F | 0% | 132 | $0.00 | |
| 1036F | 0% | 1,473 | $0.00 | |
| 3079F | 0% | 40 | $0.00 | |
| 96127 | 0% | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.