Tuff, Martha

Tuff, Martha was paid $191K by Medicaid between Apr 2020 and Mar 2023, across 10 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 39% of everything it billed.

33Billing provider infoTUFF, MARTHA
BOSTON, MA 02215

33aNPI1588089213assigned 03/05/2014

33bProvider typePhysician Assistant

28Total paid$191K

24GClaims1,880

24DCodes billed10

24AFirst – last monthApr 2020 – Mar 2023

Compared with peers

Next to other Physician Assistant providers in Massachusetts

Rank by total paid#21 of 272

Median peer was paid$6K

This provider vs. median31×

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
2020	373	$42K
2021	824	$74K
2022	449	$52K
2023	234	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	39%	580	580	$74K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	401	373	$50K
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	13%	163	154	$25K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	13%	196	196	$24K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	6.6%	101	101	$13K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.4%	37	33	$5K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	307	287	$261.45
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	54	53	$125.00
87631		0%	26	25	$0.00
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	0%	15	15	$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.