Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

GL Pediatrics INC

GL Pediatrics INC was paid $1.13M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 14% of everything it billed.

33Billing provider infoGL PEDIATRICS INC
LOWELL, MA 01852
33aNPI1003988346assigned 11/14/2006
33bProvider typePediatrics Physician
28Total paid$1.13M
24GClaims71,401
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#69 of 1,273
Median peer was paid$24K
This provider vs. median47×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20186,307$195K
2019925$21K
2020725$12K
2021396$8K
2022841$18K
202327,028$337K
2024incomplete35,179$538K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 16,503 15,852 $156K
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 13% 6,002 5,760 $151K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 11% 4,397 4,348 $130K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 11% 1,640 1,623 $129K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 8.8% 641 463 $99K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7.0% 1,683 1,661 $79K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.2% 306 292 $59K
96127 3.9% 4,405 4,394 $44K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 3.6% 5,594 5,577 $41K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.0% 3,339 3,294 $34K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 2.8% 260 219 $32K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.5% 1,328 1,307 $28K
44 more codes
90460 Immunization administration through 18 years of age via any route, first or only component 2.1% 5,787 $24K
90785 1.4% 702 $16K
92558 1.2% 1,807 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.1% 1,738 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.0% 1,005 $12K
83655 <1% 1,002 $11K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,909 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 623 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,134 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,557 $6K
90461 <1% 108 $4K
92587 <1% 226 $4K
87081 <1% 408 $3K
99188 <1% 90 $2K
99177 <1% 563 $2K
99381 <1% 25 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 72 $1K
94760 <1% 1,054 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 31 $959.45
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 28 $866.60
87634 <1% 13 $804.96
81003 <1% 379 $718.74
90651 <1% 182 $586.32
90686 <1% 641 $581.52
90661 <1% 193 $532.97
99173 <1% 459 $454.08
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 404 $254.63
99051 <1% 12 $182.16
36415 Collection of venous blood by venipuncture <1% 43 $108.65
90656 <1% 693 $17.69
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 25 $13.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 29 $8.35
99072 0% 46 $0.00
90715 0% 13 $0.00
90670 0% 32 $0.00
90633 0% 153 $0.00
90707 0% 29 $0.00
90677 0% 533 $0.00
90619 0% 214 $0.00
36416 0% 19 $0.00
90698 0% 112 $0.00
90680 0% 163 $0.00
90697 0% 33 $0.00
90716 0% 14 $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 officialBOUSIOS, PETER (PRACTICE ADMINISTRATOR)