Clinic
Heywood Medical Group INC
Heywood Medical Group INC was paid $436K by Medicaid between Oct 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoHEYWOOD MEDICAL GROUP INC
ATHOL, MA 01331
ATHOL, MA 01331
33aNPI1881123552assigned 06/07/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$436K
24GClaims12,167
24DCodes billed7
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Massachusetts
Rank by total paid#36 of 117
Median peer was paid$225K
This provider vs. median1.9×
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 | 89 | $3K | |
| 2019 | 493 | $18K | |
| 2020 | 624 | $24K | |
| 2021 | 3,520 | $124K | |
| 2022 | 2,512 | $88K | |
| 2023 | 2,566 | $85K | |
| 2024incomplete | 2,363 | $94K |
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 | 43% | 3,902 | 3,846 | $188K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 4,433 | 4,346 | $146K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 21% | 3,145 | 3,071 | $91K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 214 | 213 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 42 | 41 | $389.73 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 12 | 12 | $149.15 |
| 94760 | <1% | 419 | 391 | $18.46 |
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 officialSULLIVAN, THOMAS (CEO)
Parent organizationHEYWOOD MEDICAL GROUP INC
| Provider | Location | Paid |
|---|---|---|
| Henry Heywood Memorial Hospital | Gardner, MA | $54.50M |
| Athol Memorial Hospital Incorporated | Athol, MA | $30.77M |
| Heywood Medical Group INC. | Gardner, MA | $4.22M |
| Heywood Affiliated Medical Group INC. | Gardner, MA | $734K |
| Athol Memorial Hospital Incorporated | Athol, MA | $162K |
| Athol Memorial Hospital Incorporated | Athol, MA | $52K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.