Physician
Peter E Masucci, MD, PC
Peter E Masucci, MD, PC was paid $93K by Medicaid between Jan 2018 and May 2022, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPETER E MASUCCI, MD, PC
EVERETT, MA 02149
EVERETT, MA 02149
33aNPI1164479002assigned 05/27/2006
33bProvider typePediatrics Physician
28Total paid$93K
24GClaims3,804
24DCodes billed19
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#415 of 1,273
Median peer was paid$24K
This provider vs. median3.9×
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 | 943 | $21K | |
| 2019 | 548 | $12K | |
| 2020 | 537 | $12K | |
| 2021 | 1,081 | $30K | |
| 2022 | 695 | $18K |
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 | 39% | 1,012 | 900 | $36K |
| 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 | 37% | 666 | 579 | $34K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.2% | 674 | 566 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.8% | 226 | 212 | $5K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 5.5% | 620 | 614 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 89 | 52 | $1K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 12 | 12 | $853.82 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 55 | 55 | $805.35 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 38 | 37 | $721.44 |
| 99051 | <1% | 38 | 37 | $397.44 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 15 | 14 | $270.00 |
| 90686 | <1% | 141 | 141 | $236.01 |
7 more codes
| 90461 | <1% | 12 | $187.44 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $147.92 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 18 | $88.11 |
| 87081 | <1% | 12 | $78.08 | |
| 99000 | 0% | 131 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 17 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 15 | $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 officialMASUCCI, PETER (PRESIDENT)