Physician
Merrimack Valley Emergency Associates, INC.
Merrimack Valley Emergency Associates, INC. was paid $15.15M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99284, emergency room visit (serious) — 47% of everything it billed.
33Billing provider infoMERRIMACK VALLEY EMERGENCY ASSOCIATES, INC.
LOWELL, MA 01854
LOWELL, MA 01854
33aNPI1821280959assigned 08/13/2007
33bProvider typeEmergency Medicine Physician
28Total paid$15.15M
24GClaims205,876
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Massachusetts
Rank by total paid#7 of 618
Median peer was paid$8K
This provider vs. median1,832×
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 | 35,115 | $2.27M | |
| 2019 | 33,514 | $2.22M | |
| 2020 | 24,964 | $1.90M | |
| 2021 | 27,044 | $1.98M | |
| 2022 | 27,960 | $2.18M | |
| 2023 | 30,848 | $2.46M | |
| 2024incomplete | 26,431 | $2.14M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 47% | 99,462 | 98,059 | $7.18M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 45% | 76,176 | 75,210 | $6.84M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.2% | 23,689 | 23,458 | $933K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 955 | 946 | $95K |
| 99223 | Prolong inpt eval add15 m | <1% | 283 | 276 | $32K |
| 99226 | <1% | 537 | 354 | $30K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 272 | 176 | $11K |
| 93308 | <1% | 684 | 679 | $9K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 220 | 150 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 55 | 54 | $4K |
| 93042 | <1% | 1,507 | 1,483 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 72 | 69 | $3K |
4 more codes
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 officialMACDONALD, NATHAN (PRESIDENT)