Physician
Cape Ann Pediatricians
Cape Ann Pediatricians was paid $1.68M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoCAPE ANN PEDIATRICIANS
GLOUCESTER, MA 01930
GLOUCESTER, MA 01930
33aNPI1013032267assigned 03/20/2007
33bProvider typePediatrics Physician
28Total paid$1.68M
24GClaims58,493
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#35 of 1,273
Median peer was paid$24K
This provider vs. median70×
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 | 6,443 | $242K | |
| 2019 | 5,865 | $232K | |
| 2020 | 6,790 | $267K | |
| 2021 | 8,918 | $326K | |
| 2022 | 9,159 | $337K | |
| 2023 | 10,992 | $180K | |
| 2024incomplete | 10,326 | $94K |
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 | 48% | 17,352 | 13,934 | $810K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 1,648 | 1,646 | $105K |
| 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 | 6.2% | 1,874 | 1,750 | $103K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.4% | 1,382 | 1,380 | $91K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.9% | 3,390 | 3,361 | $82K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.3% | 7,104 | 6,781 | $72K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 1,049 | 1,047 | $61K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 1,625 | 1,488 | $60K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.4% | 6,298 | 6,035 | $57K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 833 | 721 | $48K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.8% | 355 | 346 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 1,811 | 1,733 | $23K |
45 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.3% | 731 | $22K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 391 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 859 | $14K |
| 99177 | <1% | 3,301 | $10K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 278 | $7K |
| 90461 | <1% | 454 | $7K | |
| 87634 | <1% | 108 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 141 | $5K |
| 0001A | <1% | 121 | $5K | |
| 85018 | <1% | 2,463 | $5K | |
| 0071A | <1% | 109 | $5K | |
| 0003A | <1% | 122 | $5K | |
| 0002A | <1% | 102 | $5K | |
| 0072A | <1% | 95 | $4K | |
| 90480 | <1% | 93 | $3K | |
| 96127 | <1% | 343 | $3K | |
| 90686 | <1% | 1,441 | $2K | |
| 91320 | <1% | 17 | $2K | |
| 0013A | <1% | 30 | $1K | |
| 81002 | <1% | 310 | $908.93 | |
| 99173 | <1% | 30 | $675.63 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 12 | $423.96 |
| 90674 | <1% | 105 | $418.40 | |
| 92551 | <1% | 31 | $307.83 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $245.65 |
| 96160 | <1% | 112 | $2.14 | |
| 99072 | 0% | 448 | $0.00 | |
| 90685 | 0% | 30 | $0.00 | |
| 90633 | 0% | 28 | $0.00 | |
| 90670 | 0% | 121 | $0.00 | |
| 91300 | 0% | 364 | $0.00 | |
| 90672 | 0% | 15 | $0.00 | |
| 90734 | 0% | 27 | $0.00 | |
| 91307 | 0% | 185 | $0.00 | |
| 90619 | 0% | 85 | $0.00 | |
| 91301 | 0% | 78 | $0.00 | |
| 90677 | 0% | 147 | $0.00 | |
| 90651 | 0% | 125 | $0.00 | |
| 90680 | 0% | 59 | $0.00 | |
| 90697 | 0% | 62 | $0.00 | |
| 90698 | 0% | 25 | $0.00 | |
| 90620 | 0% | 99 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 16 | $0.00 |
| 0012A | 0% | 20 | $0.00 | |
| 0011A | 0% | 22 | $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 officialALLEN, CHRISTINE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Cape Ann Medical Center LLC | Gloucester, MA | $726K |
| Cape Ann Medical Center | Gloucester, MA | $715.75 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.