Dalton Medical Associates, LLP

Dalton Medical Associates, LLP was paid $114K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoDALTON MEDICAL ASSOCIATES, LLP
DALTON, MA 01226

33aNPI1831225689assigned 02/26/2007

33bProvider typeInternal Medicine Physician

28Total paid$114K

24GClaims3,785

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#201 of 1,270

Median peer was paid$8K

This provider vs. median14×

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	764	$33K
2019	496	$22K
2020	319	$13K
2021	352	$12K
2022	551	$18K
2023	691	$11K
2024incomplete	612	$5K

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	65%	1,767	1,673	$74K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	1,509	1,416	$37K
99307		<1%	228	227	$1K
90686		<1%	81	80	$920.72
90688		<1%	61	61	$473.44
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	15	15	$286.30
80061	Lipid panel	<1%	28	28	$276.20
G0008	Administration of influenza virus vaccine	<1%	96	96	$84.37

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 officialVAUGHAN, THOMAS (C0-PARTNER)