Physician
Family Medical & Maternity Care PC
Family Medical & Maternity Care PC was paid $814K by Medicaid between Jan 2018 and Nov 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoFAMILY MEDICAL & MATERNITY CARE PC
LEOMINSTER, MA 01453
LEOMINSTER, MA 01453
33aNPI1922170216assigned 11/14/2006
33bProvider typeFamily Medicine Physician
28Total paid$814K
24GClaims18,919
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#28 of 744
Median peer was paid$10K
This provider vs. median78×
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 | 3,320 | $116K | |
| 2019 | 4,394 | $145K | |
| 2020 | 3,149 | $127K | |
| 2021 | 2,534 | $127K | |
| 2022 | 2,430 | $125K | |
| 2023 | 1,196 | $62K | |
| 2024incomplete | 1,896 | $112K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 6,966 | 6,634 | $373K |
| 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 | 32% | 3,546 | 3,374 | $261K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.3% | 359 | 357 | $35K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 1,116 | 1,089 | $27K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.1% | 182 | 178 | $17K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 1,680 | 1,574 | $17K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 190 | 188 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 183 | 140 | $15K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 1.1% | 972 | 871 | $9K |
| 90682 | 1.0% | 208 | 205 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 83 | 82 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 334 | 330 | $5K |
22 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 47 | $4K |
| 99173 | <1% | 158 | $3K | |
| 90461 | <1% | 101 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 189 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 174 | $2K |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | <1% | 140 | $1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 409 | $1K |
| 90686 | <1% | 496 | $913.44 | |
| 87081 | <1% | 151 | $792.11 | |
| 87428 | <1% | 14 | $699.49 | |
| 86403 | <1% | 62 | $585.18 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 465 | $204.75 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 454 | $167.92 |
| 94760 | <1% | 94 | $166.98 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 38 | $79.80 |
| 81000 | <1% | 14 | $39.40 | |
| 90685 | 0% | 12 | $0.00 | |
| 90670 | 0% | 13 | $0.00 | |
| 99406 | 0% | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 30 | $0.00 |
| 90698 | 0% | 14 | $0.00 | |
| 96127 | 0% | 13 | $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 officialTRACEY, AUDREY (OWNER)