Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › MEDFORD › HALLMARK HEALTH MEDICAL ASSOCIATES INC

HALLMARK HEALTH MEDICAL ASSOCIATES INC

NPI: 1770563900 · MEDFORD, MA 02155 · Internal Medicine Physician · NPI assigned 01/23/2006

$5.13M
Total Medicaid Paid
145,473
Total Claims
134,901
Beneficiaries
85
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTURILLI, MICHAEL (VICE PRESIDENT FISCAL SERVICES)
Parent OrganizationHALLMARK HEALTH COPORATION
NPI Enumeration Date01/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 16,382 $405K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 58,204 55,723 $2.84M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,743 29,839 $1.31M
90834 Psychotherapy, 45 minutes with patient 3,583 2,198 $211K
99309 Subsequent nursing facility care, per day, low to moderate complexity 9,076 6,854 $138K
99308 Subsequent nursing facility care, per day, straightforward 5,603 5,277 $75K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 700 695 $58K
99305 1,343 1,327 $52K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 456 456 $47K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 347 347 $42K
99310 Prolong nursin fac eval 15m 1,044 942 $33K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 395 159 $28K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,784 1,764 $28K
99232 Subsequent hospital care, per day, moderate complexity 1,310 755 $28K
99215 Prolong outpt/office vis 689 650 $21K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 384 368 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 937 920 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 278 278 $15K
90686 1,494 1,482 $14K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 444 443 $12K
96127 1,476 1,459 $12K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,930 2,511 $10K
99221 366 358 $9K
36415 Collection of venous blood by venipuncture 9,815 9,578 $7K
99222 Initial hospital care, per day, moderate complexity 242 238 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 1,175 1,165 $7K
99223 Prolong inpt eval add15 m 142 139 $7K
99233 Prolong inpt eval add15 m 219 138 $6K
99443 522 468 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 517 512 $5K
95251 371 364 $5K
59025 Fetal non-stress test 160 68 $5K
99397 185 184 $4K
93000 442 435 $4K
99442 396 357 $4K
31575 68 68 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 380 375 $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) 937 889 $3K
90677 12 12 $2K
99349 73 70 $2K
0004A 60 60 $2K
90688 149 148 $2K
90662 247 246 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 90 90 $1K
90694 43 43 $1K
99188 47 47 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple 14 14 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $977.50
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 101 100 $914.05
92551 92 92 $875.84
81025 117 111 $788.40
G0008 Administration of influenza virus vaccine 427 426 $774.18
90653 124 123 $743.86
94060 87 87 $685.11
83036 Hemoglobin; glycosylated (A1C) 224 203 $640.57
87210 158 143 $623.21
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 437 437 $580.02
99177 148 148 $550.56
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 149 149 $539.63
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 422 422 $498.90
90656 37 37 $484.24
85018 208 208 $432.63
92557 14 14 $415.66
99304 12 12 $396.45
99307 83 71 $391.93
94729 79 78 $365.68
95117 44 25 $337.35
83986 100 91 $331.35
94010 67 67 $320.34
87220 72 66 $272.07
90792 Psychiatric diagnostic evaluation with medical services 12 12 $258.13
99231 Subsequent hospital care, per day, straightforward or low complexity 128 57 $247.24
99441 124 111 $230.90
94760 389 379 $216.95
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $152.64
81003 38 37 $92.47
94726 13 13 $63.46
99406 27 25 $9.32
G8510 Screening for depression is documented as negative, a follow-up plan is not required 57 55 $0.00
99000 43 41 $0.00
90480 13 13 $0.00
96160 226 226 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 215 215 $0.00
90472 Immunization administration, each additional vaccine (list separately) 13 13 $0.00
91300 27 27 $0.00
99173 30 30 $0.00