Sperber, Kenneth

Sperber, Kenneth was paid $102K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.

33Billing provider infoSPERBER, KENNETH
FRANKLIN, MA 02038

33aNPI1154382562assigned 03/28/2006

33bProvider typeFamily Medicine Physician

28Total paid$102K

24GClaims2,306

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Family Medicine Physician providers in Massachusetts

Rank by total paid#147 of 744

Median peer was paid$10K

This provider vs. median9.8×

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	502	$19K
2019	38	$2K
2020	382	$17K
2021	429	$18K
2022	462	$22K
2023	374	$20K
2024incomplete	119	$4K

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	79%	1,554	1,448	$80K
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%	184	174	$12K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.7%	394	379	$4K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.3%	38	37	$2K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	74	73	$988.40
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	12	$822.53
0012A		<1%	18	18	$742.82
0011A		<1%	15	15	$617.93
90686		<1%	17	15	$7.00

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.