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WOBURN PEDIATRIC PSYCHOLOGICAL SERVICES PLLC
WOBURN PEDIATRIC PSYCHOLOGICAL SERVICES PLLC
NPI: 1053716829
· WOBURN, MA 01801
· Psychiatry Physician
· NPI assigned 10/23/2014
$143K
Total Medicaid Paid
Provider Details
| Authorized Official | PETRARCA, JOHN (EXECUTIVE DIRECTOR) |
| Parent Organization | WOBURN PEDIATRIC ASSOCIATES |
| NPI Enumeration Date | 10/23/2014 |
Related Entities
Other providers sharing the same authorized official: PETRARCA, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
200 |
$46K |
| 2024 |
421 |
$97K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
581 |
498 |
$137K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
40 |
36 |
$6K |