Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Woonsocket Urgent Care PC

Woonsocket Urgent Care PC was paid $957K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoWOONSOCKET URGENT CARE PC
NATICK, MA 01760
33aNPI1780039966assigned 04/26/2016
28Total paid$957K
24GClaims21,474
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#38 of 1,270
Median peer was paid$8K
This provider vs. median114×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018946$38K
20191,179$50K
20201,773$86K
20213,749$167K
20226,851$267K
20234,212$203K
2024incomplete2,764$147K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 47% 7,369 6,752 $450K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19% 2,622 2,612 $180K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 3,436 3,300 $164K
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 9.4% 893 885 $90K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.6% 1,290 1,269 $16K
71046 Radiologic examination, chest; 2 views 1.2% 965 720 $12K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1.2% 372 359 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.1% 898 509 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 100 100 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 516 369 $4K
81025 <1% 665 643 $4K
74019 <1% 134 108 $3K
19 more codes
81000 <1% 561 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 347 $895.58
86328 <1% 28 $853.22
99215 Doctor's office visit, returning patient (complex) <1% 13 $792.89
81002 <1% 484 $780.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 63 $728.97
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 22 $649.00
80053 Comprehensive metabolic panel <1% 76 $240.03
ATP14 <1% 13 $119.79
80047 <1% 24 $106.90
90756 <1% 32 $45.58
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 31 $10.80
36415 Collection of venous blood by venipuncture <1% 303 $7.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 30 $6.58
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 32 $3.08
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 30 $1.40
A6455 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard 0% 87 $0.00
G0008 Administration of influenza virus vaccine 0% 13 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 0% 25 $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 officialVALLERA, PAUL (CEO)
Parent organizationWOONSOCKET URGENT CARE PC
Same official

Other billing entities under VALLERA, PAUL

Full network →
ProviderLocationPaid
Woonsocket Urgent Care, PCNorwood, MA$2.61M
Woonsocket Urgent Care PCEast Walpole, MA$393K
Woonsocket Urgent CareWoonsocket, RI$27K
Woonsocket Urgent CareEast Walpole, MA$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.