Emerald Physician Services, LLC

Emerald Physician Services, LLC was paid $556K by Medicaid between Jan 2018 and Apr 2019, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoEMERALD PHYSICIAN SERVICES, LLC
HYANNIS, MA 02601

33aNPI1952443244assigned 02/13/2007

33bProvider typeNeurology Physician

28Total paid$556K

24GClaims14,836

24DCodes billed25

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Neurology Physician providers in Massachusetts

Rank by total paid#12 of 101

Median peer was paid$10K

This provider vs. median56×

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	10,831	$410K
2019	4,005	$146K

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	75%	6,985	6,349	$415K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	2,484	2,327	$113K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.4%	77	77	$8K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	65	65	$5K
ATP03		<1%	563	562	$4K
80061	Lipid panel	<1%	729	689	$2K
ATP17		<1%	657	657	$2K
93000		<1%	133	132	$2K
84439		<1%	216	204	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	12	12	$1K
ATP14		<1%	294	290	$969.21
80050	General health panel	<1%	39	39	$660.66

13 more codes

ATP08		<1%	173	$573.75
36415	Collection of venous blood by venipuncture	<1%	1,804	$514.28
84481		<1%	42	$377.36
ATP18		<1%	78	$340.07
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	113	$323.37
90686		<1%	33	$209.42
80053	Comprehensive metabolic panel	<1%	229	$191.69
82607		<1%	14	$154.30
83036	Hemoglobin; glycosylated (A1C)	<1%	29	$112.96
84443	Thyroid stimulating hormone (TSH)	<1%	12	$51.99
81003		<1%	14	$14.61
G0008	Administration of influenza virus vaccine	0%	13	$0.00
99397		0%	28	$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 officialCONNORS, MICHAEL (CFO)