Clinic
Mass Lung & Allergy, PC.
Mass Lung & Allergy, PC. was paid $3.36M by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoMASS LUNG & ALLERGY, PC.
LEOMINSTER, MA 01453
LEOMINSTER, MA 01453
33aNPI1679734545assigned 06/23/2008
33bProvider typeSleep Disorder Diagnostic Clinic/Center
28Total paid$3.36M
24GClaims67,593
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Sleep Disorder Diagnostic Clinic/Center providers in Massachusetts
Rank by total paid#1 of 5
Median peer was paid$237K
This provider vs. median14×
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 | 11,140 | $592K | |
| 2019 | 12,067 | $646K | |
| 2020 | 10,123 | $579K | |
| 2021 | 10,080 | $546K | |
| 2022 | 8,725 | $433K | |
| 2023 | 6,981 | $222K | |
| 2024incomplete | 8,477 | $342K |
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 | 30% | 23,158 | 22,893 | $1.00M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 19% | 8,910 | 3,300 | $646K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 16,752 | 6,124 | $532K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.5% | 5,632 | 5,527 | $285K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 7.7% | 1,594 | 1,257 | $260K |
| 95811 | 6.1% | 1,440 | 1,143 | $204K | |
| 95806 | 4.2% | 2,598 | 1,853 | $142K | |
| 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 | 3.3% | 1,220 | 1,214 | $111K |
| 99223 | Prolong inpt eval add15 m | 1.4% | 785 | 762 | $49K |
| 99310 | Prolong nursin fac eval 15m | 1.2% | 1,942 | 1,769 | $40K |
| 99205 | Prolong outpt/office vis | <1% | 346 | 345 | $31K |
| 95800 | <1% | 440 | 344 | $23K |
20 more codes
| 99292 | <1% | 283 | $10K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 272 | $10K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 31 | $5K |
| 94010 | <1% | 208 | $1K | |
| 94060 | <1% | 269 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 37 | $948.74 |
| 95117 | <1% | 145 | $854.83 | |
| 94726 | <1% | 160 | $770.98 | |
| 94729 | <1% | 195 | $753.77 | |
| 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) | <1% | 198 | $374.35 |
| 99406 | <1% | 25 | $140.00 | |
| 99072 | <1% | 144 | $135.79 | |
| 3023F | 0% | 42 | $0.00 | |
| 4004F | 0% | 45 | $0.00 | |
| G9695 | Long-acting inhaled bronchodilator prescribed | 0% | 56 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | $0.00 |
| 1036F | 0% | 515 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 24 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 83 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 32 | $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 officialAGHASSI, PAYAM (OWNER PHYSICIAN)
Parent organizationMASS LUNG & ALLERGY, P.C.
| Provider | Location | Paid |
|---|---|---|
| Tak Medical Group, P.C. | Leominster, MA | $197K |
| Mass Lung & Allergy, P.C. | Leominster, MA | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.