Clinic
The Children's Heart Center of Western Massachusetts, LLC
The Children's Heart Center of Western Massachusetts, LLC was paid $113K by Medicaid between Jan 2018 and Sep 2022, across 7 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 65% of everything it billed.
33Billing provider infoTHE CHILDREN'S HEART CENTER OF WESTERN MASSACHUSETTS, LLC
HOLYOKE, MA 01040
HOLYOKE, MA 01040
33aNPI1629358767assigned 08/21/2011
33bProvider typeMedical Specialty Clinic/Center
28Total paid$113K
24GClaims1,541
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Massachusetts
Rank by total paid#6 of 15
Median peer was paid$55K
This provider vs. median2.1×
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 | 498 | $37K | |
| 2019 | 239 | $14K | |
| 2020 | 169 | $14K | |
| 2021 | 350 | $30K | |
| 2022 | 285 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 65% | 920 | 873 | $73K |
| 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 | 12% | 191 | 181 | $13K |
| 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 | 10% | 94 | 93 | $12K |
| 99205 | Prolong outpt/office vis | 6.7% | 52 | 51 | $8K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.0% | 45 | 30 | $4K |
| 93000 | 2.0% | 184 | 180 | $2K | |
| 93325 | <1% | 55 | 36 | $732.68 |
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 officialWILLERS, MICHAEL (DIRECTOR)