Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AFC PHYSICIANS OF MASSACHUSETTS, PC

NPI: 1740672989 · WORCESTER, MA 01603 · General Practice Physician · NPI assigned 02/25/2015

$1.32M
Total Medicaid Paid
30,983
Total Claims
28,088
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRENNAN, JAMES (PRESIDENT)
NPI Enumeration Date02/25/2015

Related Entities

Other providers sharing the same authorized official: BRENNAN, JAMES

ProviderCityStateTotal Paid
AFC PHYSICIANS OF MASSACHUSETTS, PC NEW BEDFORD MA $1.85M
AFC PHYSICIANS OF MASSACHUSETTS, PC SPRINGFIELD MA $1.83M
AFC PHYSICIANS OF MASSACHUSETTS, PC WEST SPRINGFIELD MA $1.28M
AFC PHYSICIANS OF MASSACHUSETTS, PC SAUGUS MA $501K
AFC PHYSICIANS OF MASSACHUSETTS, PC MALDEN MA $411K
AFC PHYSICIANS OF MASSACHUSETTS WORCESTER MA $339K
AFC PHYSICIANS OF MASSACHUSETTS, PC MARLBOROUGH MA $336K
AFC PHYSICIANS OF MASSACHUSETTS, PC SPRINGFIELD MA $201K
AFC PHYSICIANS OF MASSACHUSETTS, PC DEDHAM MA $195K
AFC PHYSICIANS OF MASSACHUSETTS, PC NATICK MA $76K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 600 $14K
2019 207 $9K
2020 1,314 $62K
2021 8,680 $266K
2022 4,824 $179K
2023 7,988 $384K
2024 7,370 $401K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,186 3,054 $312K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,166 3,951 $288K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,180 3,022 $247K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,687 4,098 $185K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,334 2,189 $145K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2,101 2,038 $41K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,114 2,242 $33K
S9083 Global fee urgent care centers 225 215 $27K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,588 2,454 $20K
99051 1,042 933 $14K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 179 175 $3K
81002 412 361 $809.42
81025 132 130 $388.46
87400 16 14 $284.74
81003 143 141 $253.61
99072 3,014 2,614 $19.99
87086 Culture, bacterial; quantitative colony count, urine 12 12 $7.47
87088 14 13 $1.62
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 213 213 $0.00
G8482 Influenza immunization administered or previously received 126 122 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 27 25 $0.00
87070 72 72 $0.00