Autumn Grace Medical Associates, PC

Autumn Grace Medical Associates, PC was paid $596K by Medicaid between Jan 2018 and May 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoAUTUMN GRACE MEDICAL ASSOCIATES, PC
METHUEN, MA 01844

33aNPI1710905237assigned 07/17/2006

33bProvider typeInternal Medicine Physician

28Total paid$596K

24GClaims13,275

24DCodes billed7

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#66 of 1,270

Median peer was paid$8K

This provider vs. median71×

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	2,505	$112K
2019	2,411	$113K
2020	2,312	$102K
2021	2,281	$102K
2022	2,125	$94K
2023	1,419	$65K
2024incomplete	222	$8K

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	60%	6,272	5,294	$355K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	38%	6,000	4,982	$228K
93000		1.1%	745	714	$7K
99443		<1%	126	104	$4K
99442		<1%	106	97	$2K
94060		<1%	14	14	$499.60
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	12	12	$274.77

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 officialYEH, CHIH (OWNER)