Physician
Kates, Erica
Kates, Erica was paid $334K by Medicaid between Jan 2018 and Mar 2023, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoKATES, ERICA
HOLYOKE, MA 01040
HOLYOKE, MA 01040
33aNPI1134141757assigned 07/24/2006
33bProvider typePediatrics Physician
28Total paid$334K
24GClaims7,947
24DCodes billed23
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#201 of 1,273
Median peer was paid$24K
This provider vs. median14×
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 | 341 | $15K | |
| 2019 | 1,352 | $48K | |
| 2020 | 2,003 | $71K | |
| 2021 | 1,891 | $75K | |
| 2022 | 1,965 | $101K | |
| 2023 | 395 | $24K |
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 | 25% | 1,453 | 1,421 | $84K |
| 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 | 20% | 628 | 616 | $66K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 1,049 | 1,048 | $48K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 9.3% | 228 | 227 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.0% | 351 | 351 | $30K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.0% | 1,487 | 1,475 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 138 | 128 | $11K |
| 90461 | 3.2% | 311 | 311 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 882 | 871 | $9K |
| 99173 | 2.2% | 324 | 324 | $7K | |
| 96127 | 1.6% | 496 | 490 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 50 | 50 | $4K |
11 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 169 | $3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 139 | $3K |
| 0071A | <1% | 40 | $2K | |
| 0072A | <1% | 40 | $2K | |
| 99051 | <1% | 65 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $446.55 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 13 | $402.35 |
| 99188 | <1% | 12 | $312.00 | |
| 99442 | <1% | 13 | $270.53 | |
| 94760 | <1% | 29 | $73.37 | |
| 85018 | <1% | 17 | $41.44 |
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.