Physician
Hawthorne, Kelly
Hawthorne, Kelly was paid $104K by Medicaid between Nov 2021 and Mar 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoHAWTHORNE, KELLY
PLYMOUTH, MA 02360
PLYMOUTH, MA 02360
33aNPI1083110233assigned 04/04/2018
33bProvider typePediatrics Physician
28Total paid$104K
24GClaims2,424
24DCodes billed14
24AFirst – last monthNov 2021 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#390 of 1,273
Median peer was paid$24K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2021 | 215 | $9K | |
| 2022 | 1,595 | $61K | |
| 2023 | 614 | $34K |
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 | 27% | 494 | 486 | $28K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 18% | 130 | 130 | $18K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 319 | 319 | $14K |
| 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 | 12% | 115 | 111 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.0% | 107 | 107 | $8K |
| 90461 | 5.0% | 126 | 126 | $5K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.9% | 449 | 445 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.4% | 348 | 344 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 42 | 40 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.0% | 66 | 66 | $2K |
| 99050 | 1.4% | 89 | 88 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 17 | 17 | $1K |
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.