Physician
Family Practice Associates R Taylor E Heyman & R Lee PTRS
Family Practice Associates R Taylor E Heyman & R Lee PTRS was paid $346K by Medicaid between Jan 2018 and Jan 2020, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoFAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS
PITTSFIELD, MA 01201
PITTSFIELD, MA 01201
33aNPI1902835564assigned 07/03/2006
33bProvider typeInternal Medicine Physician
28Total paid$346K
24GClaims10,895
24DCodes billed11
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#105 of 1,270
Median peer was paid$8K
This provider vs. median41×
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 | 6,661 | $215K | |
| 2019 | 4,203 | $128K | |
| 2020 | 31 | $2K |
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% | 5,358 | 5,259 | $226K |
| 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% | 2,865 | 2,767 | $99K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.3% | 621 | 566 | $8K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.2% | 523 | 461 | $8K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,289 | 1,016 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $806.59 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 33 | 33 | $654.40 |
| G0008 | Administration of influenza virus vaccine | <1% | 77 | 77 | $125.38 |
| 90686 | <1% | 14 | 14 | $123.20 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 77 | 77 | $84.00 |
| 81002 | <1% | 25 | 25 | $43.95 |
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 officialGRENOBLE, JONATHAN (MANAGING PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Berkshire Family Practice Associates , PC | Pittsfield, MA | $754K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.