Physician
Umphrey, Mark
Umphrey, Mark was paid $52K by Medicaid between Mar 2018 and Oct 2020, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoUMPHREY, MARK
NORTON, MA 02766
NORTON, MA 02766
33aNPI1871931162assigned 06/07/2013
33bProvider typeFamily Medicine Physician
28Total paid$52K
24GClaims831
24DCodes billed6
24AFirst – last monthMar 2018 – Oct 2020
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#223 of 744
Median peer was paid$10K
This provider vs. median5.0×
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 | 454 | $30K | |
| 2019 | 205 | $11K | |
| 2020 | 172 | $11K |
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 | 68% | 383 | 321 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 197 | 181 | $12K |
| 90682 | 2.9% | 28 | 28 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 73 | 67 | $1K |
| 90673 | 2.5% | 32 | 32 | $1K | |
| 96127 | 0% | 118 | 113 | $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.