Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Adfinitas Health at the Mercy Hospital PLLC

Adfinitas Health at the Mercy Hospital PLLC was paid $194K by Medicaid between Aug 2019 and Oct 2024, across 2 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 100% of everything it billed.

33Billing provider infoADFINITAS HEALTH AT THE MERCY HOSPITAL PLLC
SPRINGFIELD, MA 01104
33aNPI1669036737assigned 04/24/2019
33bProvider typeHospitalist Physician
28Total paid$194K
24GClaims2,609
24DCodes billed2
24AFirst – last monthAug 2019 – Oct 2024
Compared with peers

Next to other Hospitalist Physician providers in Massachusetts

Rank by total paid#6 of 48
Median peer was paid$6K
This provider vs. median33×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2019339$22K
2020683$44K
2021617$51K
2022493$44K
2023231$21K
2024incomplete246$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 100% 2,595 1,072 $194K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 14 14 $726.36

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 officialMILLARD, KAREN (DIRECTOR RCM)