Clinic
Fairview Hospital
Fairview Hospital was paid $3.50M by Medicaid between Oct 2019 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoFAIRVIEW HOSPITAL
NORTH ADAMS, MA 01247
NORTH ADAMS, MA 01247
33aNPI1639737042assigned 05/31/2019
33bProvider typeRural Health Clinic/Center
28Total paid$3.50M
24GClaims21,822
24DCodes billed15
24AFirst – last monthOct 2019 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Massachusetts
Rank by total paid#1 of 7
Median peer was paid$1.52M
This provider vs. median2.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RODOWICZ, DARLENE controls 11+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 159 | $2K | |
| 2020 | 4,585 | $609K | |
| 2021 | 5,636 | $1.23M | |
| 2022 | 5,380 | $1.24M | |
| 2023 | 4,819 | $388K | |
| 2024incomplete | 1,243 | $42K |
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 | 46% | 10,102 | 8,675 | $1.63M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 6,341 | 5,489 | $1.23M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.3% | 684 | 628 | $221K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.1% | 401 | 401 | $110K |
| 96127 | 2.8% | 862 | 845 | $99K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 211 | 204 | $91K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.6% | 172 | 171 | $55K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,694 | 1,484 | $35K |
| 90686 | <1% | 354 | 354 | $23K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 520 | 515 | $12K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 169 | 164 | $384.80 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 131 | 126 | $17.95 |
3 more codes
| 99406 | <1% | 13 | $3.10 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 80 | $0.00 |
| 99442 | 0% | 88 | $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 officialRODOWICZ, DARLENE (CHIEF FINANCIAL OFFICER)
Parent organizationFAIRVIEW HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Berkshire Medical Center, INC | Pittsfield, MA | $150.13M |
| Fairview Hospital | Great Barrington, MA | $17.67M |
| Berkshire Medical Center, INC | Pittsfield, MA | $15.35M |
| Berkshire Faculty Services INC | Pittsfield, MA | $13.13M |
| Berkshire Medical Center, INC. | Pittsfield, MA | $3.10M |
| Fairview Hospital | Williamstown, MA | $2.82M |
| Fairview Hospital | Great Barrington, MA | $1.95M |
| Berkshire Medical Center, INC | North Adams, MA | $639K |
| North Adams Regional Hospital Corporation | North Adams, MA | $306K |
| BHS Urgent Care Center | Pittsfield, MA | $126K |
| Berkshire Medical Center, INC. | Pittsfield, MA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.