John L. Niles MD, PLLC

John L. Niles MD, PLLC was paid $901K by Medicaid between Jan 2018 and Jun 2024, across 12 billing codes. Its largest line is J9312, Injection, rituximab, 10 mg — 72% of everything it billed.

33Billing provider infoJOHN L. NILES MD, PLLC
BOSTON, MA 02114

33aNPI1144656364assigned 09/19/2013

33bProvider typeMedical Specialty Clinic/Center

28Total paid$901K

24GClaims3,406

24DCodes billed12

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Medical Specialty Clinic/Center providers in Massachusetts

Rank by total paid#2 of 15

Median peer was paid$55K

This provider vs. median16×

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	842	$223K
2019	722	$282K
2020	612	$178K
2021	364	$82K
2022	349	$126K
2023	433	$9K
2024incomplete	84	$133.20

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J9312	Injection, rituximab, 10 mg	72%	124	124	$645K
J9310	Injection, rituximab, 100 mg	24%	52	51	$213K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	2.1%	336	328	$19K
96415		1.3%	328	316	$12K
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	<1%	117	115	$4K
96375	Therapeutic injection; each additional sequential IV push	<1%	363	346	$3K
J1720	Injection, hydrocortisone sodium succinate, up to 100 mg	<1%	326	320	$2K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	473	461	$2K
81003		<1%	572	561	$276.32
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	13	13	$258.07
36415	Collection of venous blood by venipuncture	<1%	689	664	$57.79
J2920	Injection, methylprednisolone sodium succinate, up to 40 mg	<1%	13	13	$28.50

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 officialNILES, JOHN (OWNER)