Physician
Urology Group of Western New England, P.C.
Urology Group of Western New England, P.C. was paid $149K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoUROLOGY GROUP OF WESTERN NEW ENGLAND, P.C.
SPRINGFIELD, MA 01107
SPRINGFIELD, MA 01107
33aNPI1730263039assigned 10/24/2006
33bProvider typeCytopathology Physician
28Total paid$149K
24GClaims5,924
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cytopathology Physician providers in Massachusetts
Rank by total paid#2 of 19
Median peer was paid$5K
This provider vs. median27×
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 | 187 | $6K | |
| 2019 | 750 | $17K | |
| 2020 | 539 | $15K | |
| 2021 | 629 | $17K | |
| 2022 | 1,046 | $31K | |
| 2023 | 1,635 | $38K | |
| 2024incomplete | 1,138 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 66% | 2,500 | 2,247 | $98K |
| 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 | 23% | 683 | 574 | $35K |
| 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 | 4.8% | 58 | 57 | $7K |
| 51798 | 3.9% | 1,055 | 928 | $6K | |
| 81001 | 1.8% | 1,337 | 1,173 | $3K | |
| 81003 | <1% | 291 | 288 | $277.31 |
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 officialMOSTAFAVI, MOHAMMAD (PRESIDENT)