Physician Care West PC

Physician Care West PC was paid $180K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.

33Billing provider infoPHYSICIAN CARE WEST PC
WEST SPRINGFIELD, MA 01089

33aNPI1760594493assigned 08/31/2006

33bProvider typePrimary Care Clinic/Center

28Total paid$180K

24GClaims4,053

24DCodes billed8

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Massachusetts

Rank by total paid#13 of 44

Median peer was paid$76K

This provider vs. median2.4×

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	817	$39K
2019	731	$29K
2020	565	$28K
2021	573	$24K
2022	528	$22K
2023	536	$23K
2024incomplete	303	$17K

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	97%	3,470	3,260	$175K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.4%	53	52	$3K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	12	$1K
90756		<1%	186	179	$328.16
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	13	13	$322.28
G0008	Administration of influenza virus vaccine	<1%	247	213	$145.21
90688		<1%	59	34	$36.57
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	13	13	$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 officialISHAK, REDA (MEDICAL DIRECTOR)