Physician
Heywood Medical Group INC.
Heywood Medical Group INC. was paid $4.22M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoHEYWOOD MEDICAL GROUP INC.
GARDNER, MA 01440
GARDNER, MA 01440
33aNPI1699762286assigned 09/29/2005
33bProvider typeObstetrics & Gynecology Physician
28Total paid$4.22M
24GClaims123,373
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Massachusetts
Rank by total paid#2 of 216
Median peer was paid$7K
This provider vs. median629×
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 | 17,477 | $551K | |
| 2019 | 16,822 | $505K | |
| 2020 | 13,056 | $437K | |
| 2021 | 11,929 | $456K | |
| 2022 | 22,182 | $812K | |
| 2023 | 22,882 | $762K | |
| 2024incomplete | 19,025 | $699K |
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 | 50% | 42,387 | 39,406 | $2.13M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 25,923 | 24,297 | $828K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 7.4% | 3,484 | 1,735 | $311K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 3,248 | 3,226 | $134K |
| 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 | 2.7% | 1,639 | 1,632 | $114K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 1,532 | 1,393 | $91K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 1,321 | 1,320 | $85K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.5% | 1,075 | 1,062 | $64K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.5% | 1,333 | 866 | $64K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 1.3% | 9,103 | 8,853 | $56K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 6,721 | 6,348 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 549 | 549 | $34K |
77 more codes
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 318 | $30K |
| 0002A | <1% | 540 | $25K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,394 | $22K |
| 99223 | Prolong inpt eval add15 m | <1% | 247 | $21K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 2,082 | $15K |
| 0001A | <1% | 303 | $14K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 198 | $13K |
| 62323 | <1% | 393 | $13K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 500 | $12K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 707 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 395 | $12K |
| 20610 | <1% | 533 | $9K | |
| 64635 | <1% | 78 | $6K | |
| 90461 | <1% | 951 | $4K | |
| 99406 | <1% | 466 | $4K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,134 | $4K |
| 99188 | <1% | 404 | $3K | |
| 99205 | Prolong outpt/office vis | <1% | 50 | $3K |
| 64636 | <1% | 76 | $3K | |
| 90686 | <1% | 660 | $3K | |
| 99443 | <1% | 130 | $3K | |
| 11721 | <1% | 324 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 134 | $2K |
| 99152 | <1% | 1,044 | $2K | |
| 96127 | <1% | 3,707 | $2K | |
| 99173 | <1% | 271 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 13 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 78 | $1K |
| 59025 | Fetal non-stress test | <1% | 42 | $1K |
| 81002 | <1% | 575 | $1K | |
| 97597 | <1% | 126 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 26 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $915.44 |
| 64493 | <1% | 24 | $886.21 | |
| 99442 | <1% | 80 | $814.11 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $784.42 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 60 | $709.14 |
| 90682 | <1% | 12 | $669.22 | |
| 0031A | <1% | 13 | $596.32 | |
| 51798 | <1% | 71 | $526.78 | |
| 64494 | <1% | 24 | $499.42 | |
| 95886 | <1% | 13 | $456.91 | |
| 92551 | <1% | 162 | $450.64 | |
| 94760 | <1% | 309 | $434.89 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 19 | $424.20 |
| 0011A | <1% | 12 | $363.89 | |
| 98928 | <1% | 12 | $314.94 | |
| 95806 | <1% | 13 | $286.55 | |
| 95251 | <1% | 27 | $266.41 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | $247.76 |
| 90688 | <1% | 33 | $240.31 | |
| 93298 | <1% | 25 | $230.87 | |
| 20552 | <1% | 13 | $192.66 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 54 | $177.41 |
| 93000 | <1% | 37 | $176.33 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,065 | $140.88 |
| 99000 | <1% | 586 | $117.38 | |
| 81001 | <1% | 38 | $114.33 | |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | <1% | 120 | $112.97 |
| 83655 | <1% | 106 | $108.79 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | <1% | 702 | $50.00 |
| 85018 | <1% | 93 | $26.17 | |
| 96160 | <1% | 164 | $7.49 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 90697 | 0% | 40 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 90677 | 0% | 49 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 91303 | 0% | 12 | $0.00 | |
| 90674 | 0% | 38 | $0.00 | |
| 90381 | 0% | 14 | $0.00 | |
| 90670 | 0% | 145 | $0.00 | |
| 90633 | 0% | 26 | $0.00 | |
| 90671 | 0% | 12 | $0.00 | |
| 91300 | 0% | 739 | $0.00 | |
| 90648 | 0% | 94 | $0.00 | |
| 90685 | 0% | 14 | $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 officialSULLIVAN, THOMAS (CEO)
| Provider | Location | Paid |
|---|---|---|
| Henry Heywood Memorial Hospital | Gardner, MA | $54.50M |
| Athol Memorial Hospital Incorporated | Athol, MA | $30.77M |
| Heywood Affiliated Medical Group INC. | Gardner, MA | $734K |
| Heywood Medical Group INC | Athol, MA | $436K |
| Athol Memorial Hospital Incorporated | Athol, MA | $162K |
| Athol Memorial Hospital Incorporated | Athol, MA | $52K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.