Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1871931162assigned 06/07/2013
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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018454$30K
2019205$11K
2020172$11K
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 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.