Clinic
Middleton Family Medicine Urgent Care, LLC
Middleton Family Medicine Urgent Care, LLC was paid $1.43M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoMIDDLETON FAMILY MEDICINE URGENT CARE, LLC
MIDDLETON, MA 01949
MIDDLETON, MA 01949
33aNPI1902215106assigned 08/13/2014
33bProvider typeClinic/Center
28Total paid$1.43M
24GClaims47,324
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Massachusetts
Rank by total paid#16 of 53
Median peer was paid$154K
This provider vs. median9.3×
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 | 59 | $4K | |
| 2021 | 10,244 | $285K | |
| 2022 | 14,002 | $361K | |
| 2023 | 14,256 | $393K | |
| 2024incomplete | 8,763 | $389K |
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 | 53% | 12,145 | 10,985 | $755K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 8,493 | 7,899 | $415K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.1% | 1,392 | 1,315 | $59K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.0% | 609 | 586 | $43K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 368 | 361 | $27K |
| 84443 | Thyroid stimulating hormone (TSH) | 1.6% | 2,391 | 2,217 | $23K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 3,603 | 3,302 | $15K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 693 | 600 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 286 | 263 | $8K |
| ATP18 | <1% | 1,114 | 1,113 | $8K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 294 | 287 | $8K |
| 82607 | <1% | 783 | 720 | $6K |
38 more codes
| 99442 | <1% | 405 | $6K | |
| 82728 | <1% | 625 | $5K | |
| 82746 | <1% | 620 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,088 | $4K |
| ATP14 | <1% | 555 | $4K | |
| 80050 | General health panel | <1% | 203 | $4K |
| 84439 | <1% | 528 | $3K | |
| 83550 | <1% | 539 | $3K | |
| 83540 | <1% | 650 | $2K | |
| 80061 | Lipid panel | <1% | 2,700 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 111 | $2K |
| 84153 | <1% | 265 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 2,534 | $2K |
| 90674 | <1% | 108 | $2K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,117 | $2K |
| 80076 | <1% | 2,082 | $1K | |
| 95251 | <1% | 81 | $1K | |
| 93000 | <1% | 124 | $1K | |
| 17110 | <1% | 14 | $830.84 | |
| 99443 | <1% | 33 | $731.44 | |
| 11102 | <1% | 13 | $628.37 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 14 | $419.18 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 45 | $410.49 |
| 85652 | <1% | 221 | $378.84 | |
| ATP03 | <1% | 55 | $368.35 | |
| 0011A | <1% | 12 | $360.00 | |
| 0124A | <1% | 14 | $357.06 | |
| ATP08 | <1% | 81 | $308.43 | |
| 99349 | <1% | 15 | $234.35 | |
| 82043 | <1% | 61 | $181.07 | |
| 82570 | <1% | 61 | $162.10 | |
| ATP15 | <1% | 28 | $153.21 | |
| ATP11 | <1% | 13 | $73.92 | |
| 83735 | <1% | 15 | $29.55 | |
| 96127 | <1% | 54 | $6.64 | |
| G0008 | Administration of influenza virus vaccine | 0% | 37 | $0.00 |
| 99000 | 0% | 17 | $0.00 | |
| 1036F | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialALLARA, MARK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Congenial Healthcare, LLC | Middleton, MA | $578K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.