Physician
Paradigm Healthcare, PC
Paradigm Healthcare, PC was paid $988K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 61% of everything it billed.
33Billing provider infoPARADIGM HEALTHCARE, PC
LEEDS, MA 01053
LEEDS, MA 01053
33aNPI1932575974assigned 08/13/2015
33bProvider typeInternal Medicine Physician
28Total paid$988K
24GClaims66,501
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Massachusetts
Rank by total paid#37 of 1,270
Median peer was paid$8K
This provider vs. median118×
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 | 6,608 | $96K | |
| 2019 | 9,184 | $131K | |
| 2020 | 10,251 | $161K | |
| 2021 | 9,886 | $169K | |
| 2022 | 11,102 | $184K | |
| 2023 | 11,370 | $171K | |
| 2024incomplete | 8,100 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 61% | 42,033 | 29,095 | $605K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 20% | 16,278 | 11,396 | $194K |
| 99310 | Prolong nursin fac eval 15m | 8.3% | 2,951 | 2,740 | $82K |
| 99306 | Prolong nursin fac eval 15m | 7.9% | 2,119 | 2,060 | $78K |
| 99305 | 2.0% | 681 | 673 | $20K | |
| 99307 | <1% | 824 | 714 | $8K | |
| 99315 | <1% | 25 | 25 | $540.48 | |
| 99318 | <1% | 54 | 54 | $459.59 | |
| G0317 | Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) | <1% | 16 | 14 | $189.39 |
| 1101F | <1% | 1,460 | 1,411 | $23.90 | |
| 99406 | <1% | 12 | 12 | $5.16 | |
| 1100F | 0% | 31 | 30 | $0.00 |
1 more codes
| 0518F | 0% | 17 | $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 officialMINTZ, JOSHUA (OWNER/PRESIDENT)