Marion Pediatrics, P.C.

Marion Pediatrics, P.C. was paid $211K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 87637, Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV — 51% of everything it billed.

33Billing provider infoMARION PEDIATRICS, P.C.
FAIRHAVEN, MA 02719

33aNPI1043427230assigned 05/17/2007

33bProvider typePediatrics Physician

28Total paid$211K

24GClaims10,504

24DCodes billed26

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#278 of 1,273

Median peer was paid$24K

This provider vs. median8.8×

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	916	$34K
2019	15	$240.50
2023	4,051	$65K
2024incomplete	5,522	$111K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	51%	914	866	$107K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	2,821	2,612	$28K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	8.8%	725	694	$19K
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	7.8%	1,068	1,029	$16K
96127		5.7%	1,055	802	$12K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	4.4%	1,150	1,141	$9K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.4%	489	475	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	2.0%	1,296	732	$4K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.7%	141	138	$4K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.1%	169	168	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	108	105	$2K
92551		<1%	70	69	$658.98

14 more codes

99215	Doctor's office visit, returning patient (complex)	<1%	67	$608.67
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	24	$532.48
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	65	$166.30
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	12	$160.63
83655		<1%	13	$138.84
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	42	$82.86
90461		<1%	12	$78.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	51	$55.85
99000		<1%	77	$23.10
90661		0%	83	$0.00
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	0%	12	$0.00
90686		0%	12	$0.00
90677		0%	15	$0.00
90697		0%	13	$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 officialCHURCH, STEPHANIE (BILLING MANAGER)