Mason, Theodore

Mason, Theodore was paid $70K by Medicaid between Feb 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoMASON, THEODORE
SPRINGFIELD, MA 01107

33aNPI1619934668assigned 04/26/2006

33bProvider typeOtolaryngology Physician

28Total paid$70K

24GClaims2,379

24DCodes billed9

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Otolaryngology Physician providers in Massachusetts

Rank by total paid#22 of 90

Median peer was paid$14K

This provider vs. median5.0×

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	444	$17K
2019	532	$17K
2020	474	$14K
2021	428	$8K
2022	261	$7K
2023	117	$2K
2024incomplete	123	$5K

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	60%	768	744	$42K
95117		14%	1,063	758	$10K
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%	107	105	$9K
92567		5.3%	327	327	$4K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	3.2%	25	25	$2K
69210		2.6%	45	39	$2K
99072		<1%	19	19	$532.00
92557		<1%	12	12	$344.75
92504		<1%	13	12	$291.72

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.