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

Harper, April

Harper, April was paid $572K by Medicaid between Jan 2018 and Mar 2023, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.

33Billing provider infoHARPER, APRIL
PEABODY, MA 01960
33aNPI1023055167assigned 05/31/2006
33bProvider typePediatrics Physician
28Total paid$572K
24GClaims15,608
24DCodes billed32
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#139 of 1,273
Median peer was paid$24K
This provider vs. median24×

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$10K$20K2018201920202021202220232024
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
20182,588$90K
20193,186$115K
20203,274$115K
20213,444$127K
20222,162$83K
2023954$42K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 30% 1,848 1,769 $173K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 1,710 1,690 $86K
90460 Immunization administration through 18 years of age via any route, first or only component 11% 2,013 1,596 $65K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.4% 579 579 $48K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.7% 457 457 $38K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 3.8% 2,384 2,378 $22K
90461 3.6% 553 551 $21K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3.6% 402 397 $21K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.5% 187 186 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.0% 1,093 1,090 $11K
96127 1.7% 970 968 $10K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1.7% 364 358 $10K
20 more codes
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.7% 121 $9K
99050 1.3% 445 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.1% 213 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.0% 771 $6K
99177 <1% 289 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 48 $4K
36416 <1% 427 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 94 $2K
83655 <1% 142 $2K
0002A <1% 34 $2K
0071A <1% 25 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 61 $720.41
0072A <1% 16 $720.00
0004A <1% 12 $550.56
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 17 $401.54
87081 <1% 56 $383.04
81003 <1% 170 $365.66
94760 <1% 81 $180.73
80061 Lipid panel <1% 13 $158.73
36415 Collection of venous blood by venipuncture <1% 13 $29.51

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.