Physician
Boston Community Pediatrics INC
Boston Community Pediatrics INC was paid $1.02M by Medicaid between Dec 2020 and Nov 2024, across 44 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 30% of everything it billed.
33Billing provider infoBOSTON COMMUNITY PEDIATRICS INC
BOSTON, MA 02118
BOSTON, MA 02118
33aNPI1053927574assigned 09/21/2020
33bProvider typePediatrics Physician
28Total paid$1.02M
24GClaims20,083
24DCodes billed44
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#75 of 1,273
Median peer was paid$24K
This provider vs. median43×
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 | |
|---|---|---|---|
| 2020 | 85 | $3K | |
| 2021 | 4,035 | $169K | |
| 2022 | 6,364 | $278K | |
| 2023 | 5,945 | $298K | |
| 2024incomplete | 3,654 | $271K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 30% | 2,766 | 2,132 | $311K |
| 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 | 24% | 2,792 | 2,647 | $242K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 3,285 | 3,021 | $212K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.9% | 2,179 | 1,954 | $60K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.3% | 564 | 400 | $54K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 2,833 | 2,610 | $27K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.0% | 411 | 402 | $20K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.9% | 862 | 824 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 349 | 343 | $14K |
| 99051 | 1.2% | 807 | 744 | $12K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 94 | 92 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 232 | 220 | $5K |
32 more codes
| 99401 | <1% | 160 | $5K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 427 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 42 | $4K |
| 90480 | <1% | 76 | $3K | |
| 0001A | <1% | 61 | $3K | |
| 99188 | <1% | 86 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 25 | $2K |
| 0071A | <1% | 44 | $2K | |
| 0072A | <1% | 32 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $1K |
| 92552 | <1% | 49 | $1K | |
| 0002A | <1% | 27 | $1K | |
| 0124A | <1% | 28 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $989.36 |
| 0003A | <1% | 14 | $641.76 | |
| 91320 | <1% | 12 | $524.40 | |
| 90461 | <1% | 14 | $391.92 | |
| 99173 | <1% | 13 | $270.12 | |
| 94760 | <1% | 149 | $268.02 | |
| 96127 | <1% | 12 | $102.70 | |
| 85018 | <1% | 29 | $50.16 | |
| 96161 | 0% | 373 | $0.00 | |
| 91307 | 0% | 129 | $0.00 | |
| 90686 | 0% | 436 | $0.00 | |
| 90688 | 0% | 238 | $0.00 | |
| 36416 | 0% | 69 | $0.00 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | 0% | 12 | $0.00 |
| 91300 | 0% | 191 | $0.00 | |
| 99072 | 0% | 81 | $0.00 | |
| 90671 | 0% | 12 | $0.00 | |
| 91312 | 0% | 27 | $0.00 | |
| 90648 | 0% | 12 | $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 officialRISEBERG, ROBYN (AUTHORIZED OFFICIAL)