Prism Medical Associates,llc

Prism Medical Associates,llc was paid $74K by Medicaid between Jan 2018 and Dec 2023, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.

33Billing provider infoPRISM MEDICAL ASSOCIATES,LLC
HARWICH, MA 02645

33aNPI1588118046assigned 08/12/2016

33bProvider typeHealth Service Clinic/Center

28Total paid$74K

24GClaims1,308

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Health Service Clinic/Center providers in Massachusetts

Rank by total paid#5 of 13

Median peer was paid$29K

This provider vs. median2.6×

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	382	$19K
2019	316	$17K
2020	313	$20K
2021	120	$7K
2022	82	$5K
2023	95	$6K

Box 24 · Service lines

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	94%	1,148	1,048	$70K
99407		5.6%	160	127	$4K

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 officialARSHAD, MOHAMMAD (OWNER/MEMBER)