Rheumatology Associates PC

Rheumatology Associates PC was paid $1.06M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoRHEUMATOLOGY ASSOCIATES PC
SPRINGFIELD, MA 01107

33aNPI1902896905assigned 10/21/2005

33bProvider typeRheumatology Physician

28Total paid$1.06M

24GClaims141,422

24DCodes billed38

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Rheumatology Physician providers in Massachusetts

Rank by total paid#2 of 46

Median peer was paid$12K

This provider vs. median85×

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	20,677	$142K
2019	21,442	$151K
2020	17,965	$121K
2021	18,557	$142K
2022	22,769	$204K
2023	21,899	$167K
2024incomplete	18,113	$127K

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	44%	12,132	11,569	$467K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	9,880	9,086	$234K
20610		12%	8,207	5,389	$129K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.8%	645	636	$51K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	3.4%	13,452	12,822	$36K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2.8%	6,020	5,471	$30K
86140		1.9%	11,297	10,863	$20K
85652		1.1%	12,277	11,764	$12K
82565		1.1%	14,399	13,776	$11K
84460		<1%	13,888	13,292	$11K
84450		<1%	13,952	13,326	$10K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	1,414	1,169	$9K

26 more codes

G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	1,592	$6K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	558	$4K
ATP03		<1%	1,898	$4K
ATP04		<1%	1,889	$3K
36415	Collection of venous blood by venipuncture	<1%	11,377	$3K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	339	$3K
82040		<1%	3,941	$3K
86161		<1%	282	$2K
86160		<1%	282	$2K
73130		<1%	83	$2K
73560		<1%	56	$859.97
71046	Radiologic examination, chest; 2 views	<1%	67	$705.19
84550		<1%	680	$481.53
90694		<1%	13	$473.70
89060		<1%	108	$401.93
20550		<1%	76	$340.84
82550		<1%	274	$276.67
86431		<1%	77	$232.81
89051		<1%	103	$219.14
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	32	$163.60
97032		<1%	36	$147.21
90474		<1%	13	$56.07
85027		<1%	13	$30.51
85007		<1%	13	$16.93
ATP02		<1%	12	$10.74
99000		<1%	45	$5.00

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 officialPOPPO, MARTIN (PRESIDENT)