Physician
Franciscan Pediatrics, INC.
Franciscan Pediatrics, INC. was paid $895K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 29% of everything it billed.
33Billing provider infoFRANCISCAN PEDIATRICS, INC.
BOSTON, MA 02135
BOSTON, MA 02135
33aNPI1154460020assigned 02/06/2007
33bProvider typeAnesthesiology Physician
28Total paid$895K
24GClaims19,035
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Massachusetts
Rank by total paid#3 of 78
Median peer was paid$5K
This provider vs. median167×
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 | 5,462 | $224K | |
| 2019 | 3,232 | $103K | |
| 2020 | 360 | $16K | |
| 2021 | 397 | $32K | |
| 2022 | 223 | $11K | |
| 2023 | 1,050 | $67K | |
| 2024incomplete | 8,311 | $443K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 29% | 5,132 | 2,190 | $259K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 16% | 847 | 151 | $145K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 15% | 2,007 | 885 | $137K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 2,126 | 2,053 | $97K |
| D7140 | Extraction, erupted tooth or exposed root | 5.3% | 534 | 127 | $48K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.7% | 576 | 528 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.6% | 359 | 358 | $24K |
| D1206 | Topical application of fluoride varnish | 2.3% | 854 | 790 | $20K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 2.2% | 2,049 | 2,041 | $19K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 1,855 | 1,844 | $19K |
| 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 | 1.9% | 264 | 257 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 156 | 156 | $12K |
15 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 168 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 144 | $9K |
| D0120 | Dental checkup, returning patient | <1% | 295 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 131 | $7K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 55 | $7K |
| D1110 | Prophylaxis - adult | <1% | 103 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 625 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 166 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 101 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 223 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 122 | $3K |
| D1351 | Sealant - per tooth | <1% | 66 | $3K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 34 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 31 | $660.00 |
| D9430 | 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 officialO'BRIEN, JANE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Jane P. O'brien Crna Nursing Services, Incorporated | Paso Robles, CA | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.