Hospital
Umass Memorial Medical Center, INC.
Umass Memorial Medical Center, INC. was paid $56K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is G0463, Hospital outpatient clinic visit for assessment and management of a patient — 45% of everything it billed.
33Billing provider infoUMASS MEMORIAL MEDICAL CENTER, INC.
WORCESTER, MA 01655
WORCESTER, MA 01655
33aNPI1689760092assigned 10/04/2006
33bProvider typePsychiatric Hospital Unit
28Total paid$56K
24GClaims2,274
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Psychiatric Hospital Unit providers in Massachusetts
Rank by total paid#17 of 27
Median peer was paid$138K
This provider vs. median0.4×
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 | 1,352 | $34K | |
| 2019 | 134 | $5K | |
| 2023 | 301 | $3K | |
| 2024incomplete | 487 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 45% | 893 | 818 | $25K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 24% | 610 | 555 | $14K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 24% | 548 | 332 | $13K |
| S9485 | Crisis intervention mental health services, per diem | 6.8% | 210 | 124 | $4K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 13 | 12 | $316.98 |
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 officialMELGAR, SERGIO (EVP/CFO)
| Provider | Location | Paid |
|---|---|---|
| Umass Memorial Medical Center, INC. | Worcester, MA | $491.01M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.