Physician
Holyoke Medical Center, INC
Holyoke Medical Center, INC was paid $15K by Medicaid between Mar 2018 and Aug 2019, across 7 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 67% of everything it billed.
33Billing provider infoHOLYOKE MEDICAL CENTER, INC
HOLYOKE, MA 01040
HOLYOKE, MA 01040
33aNPI1932385283assigned 01/17/2008
33bProvider typeRheumatology Physician
28Total paid$15K
24GClaims190
24DCodes billed7
24AFirst – last monthMar 2018 – Aug 2019
Compared with peers
Next to other Rheumatology Physician providers in Massachusetts
Rank by total paid#21 of 46
Median peer was paid$12K
This provider vs. median1.2×
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 | 175 | $14K | |
| 2019 | 15 | $588.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 67% | 70 | 68 | $10K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 26% | 22 | 22 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 15 | 14 | $588.00 |
| 80053 | Comprehensive metabolic panel | 1.1% | 21 | 19 | $167.38 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 20 | 19 | $160.20 |
| 82947 | <1% | 29 | 26 | $89.53 | |
| 85027 | <1% | 13 | 13 | $86.71 |
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 officialNEILL, KEVIN (PRACTICE MANAGER)
Parent organizationHOLYOKE MEDICAL CENTER, INC