Hallmark Health Medical Associates INC

Hallmark Health Medical Associates INC was paid $5.13M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoHALLMARK HEALTH MEDICAL ASSOCIATES INC
MEDFORD, MA 02155

33aNPI1770563900assigned 01/23/2006

33bProvider typeInternal Medicine Physician

28Total paid$5.13M

24GClaims145,473

24DCodes billed85

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#14 of 1,270

Median peer was paid$8K

This provider vs. median613×

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	20,889	$844K
2019	22,762	$958K
2020	18,468	$808K
2021	18,559	$776K
2022	17,780	$714K
2023	30,633	$621K
2024incomplete	16,382	$405K

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	55%	58,204	55,723	$2.84M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	31,743	29,839	$1.31M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	4.1%	3,583	2,198	$211K
99309	Subsequent nursing facility care, per day, low to moderate complexity	2.7%	9,076	6,854	$138K
99308	Subsequent nursing facility care, per day, straightforward	1.5%	5,603	5,277	$75K
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	1.1%	700	695	$58K
99305		1.0%	1,343	1,327	$52K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	456	456	$47K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	347	347	$42K
99310	Prolong nursin fac eval 15m	<1%	1,044	942	$33K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	395	159	$28K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,784	1,764	$28K

73 more codes

99232	Hospital visit by a doctor, follow-up day	<1%	1,310	$28K
99215	Doctor's office visit, returning patient (complex)	<1%	689	$21K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	384	$18K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	937	$16K
99203	Doctor's office visit, new patient (routine)	<1%	278	$15K
90686		<1%	1,494	$14K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	444	$12K
96127		<1%	1,476	$12K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	2,930	$10K
99221		<1%	366	$9K
36415	Collection of venous blood by venipuncture	<1%	9,815	$7K
99222	Initial hospital care, per day, moderate complexity	<1%	242	$7K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	1,175	$7K
99223	Prolong inpt eval add15 m	<1%	142	$7K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	219	$6K
99443		<1%	522	$6K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	517	$5K
95251		<1%	371	$5K
59025	Fetal non-stress test	<1%	160	$5K
99397		<1%	185	$4K
93000		<1%	442	$4K
99442		<1%	396	$4K
31575		<1%	68	$4K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	380	$3K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	937	$3K
90677		<1%	12	$2K
99349		<1%	73	$2K
0004A		<1%	60	$2K
90688		<1%	149	$2K
90662		<1%	247	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	90	$1K
90694		<1%	43	$1K
99188		<1%	47	$1K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	14	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	12	$977.50
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	<1%	101	$914.05
92551		<1%	92	$875.84
81025		<1%	117	$788.40
G0008	Administration of influenza virus vaccine	<1%	427	$774.18
90653		<1%	124	$743.86
94060		<1%	87	$685.11
83036	Hemoglobin; glycosylated (A1C)	<1%	224	$640.57
87210		<1%	158	$623.21
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	437	$580.02
99177		<1%	148	$550.56
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	149	$539.63
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	422	$498.90
90656		<1%	37	$484.24
85018		<1%	208	$432.63
92557		<1%	14	$415.66
99304		<1%	12	$396.45
99307		<1%	83	$391.93
94729		<1%	79	$365.68
95117		<1%	44	$337.35
83986		<1%	100	$331.35
94010		<1%	67	$320.34
87220		<1%	72	$272.07
90792	Psychiatric diagnostic evaluation with medical services	<1%	12	$258.13
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	128	$247.24
99441		<1%	124	$230.90
94760		<1%	389	$216.95
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	12	$152.64
81003		<1%	38	$92.47
94726		<1%	13	$63.46
99406		<1%	27	$9.32
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	57	$0.00
99000		0%	43	$0.00
90480		0%	13	$0.00
96160		0%	226	$0.00
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	0%	215	$0.00
90472	Immunization administration, each additional vaccine (list separately)	0%	13	$0.00
91300		0%	27	$0.00
99173		0%	30	$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 officialTURILLI, MICHAEL (VICE PRESIDENT FISCAL SERVICES)

Parent organizationHALLMARK HEALTH COPORATION