Physician
Nantucket Physicians Organization
Nantucket Physicians Organization was paid $183K by Medicaid between Apr 2018 and Jul 2019, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoNANTUCKET PHYSICIANS ORGANIZATION
NANTUCKET, MA 02554
NANTUCKET, MA 02554
33aNPI1568798510assigned 10/27/2009
33bProvider typeFamily Medicine Physician
28Total paid$183K
24GClaims4,018
24DCodes billed16
24AFirst – last monthApr 2018 – Jul 2019
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#99 of 744
Median peer was paid$10K
This provider vs. median18×
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 | 2,473 | $116K | |
| 2019 | 1,545 | $68K |
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 | 61% | 2,014 | 1,886 | $112K |
| 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 | 14% | 334 | 309 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.8% | 852 | 837 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 127 | 127 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 122 | 119 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 186 | 184 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 53 | 53 | $2K |
| 90686 | <1% | 207 | 205 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | 13 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $470.40 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | 16 | $347.28 |
| 90680 | 0% | 12 | 12 | $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 officialMONTO, JENNIFER (MANAGER)
Parent organizationNANTUCKET COTTAGE HOSPITAL