Physician
Aleska Pelaez Acosta MD Pediatrics PC
Aleska Pelaez Acosta MD Pediatrics PC was paid $1.14M by Medicaid between Jan 2018 and Apr 2023, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoALESKA PELAEZ ACOSTA MD PEDIATRICS PC
SPRINGFIELD, MA 01107
SPRINGFIELD, MA 01107
33aNPI1164763397assigned 03/13/2013
33bProvider typePediatrics Physician
28Total paid$1.14M
24GClaims27,788
24DCodes billed42
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#68 of 1,273
Median peer was paid$24K
This provider vs. median48×
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 | 13,541 | $506K | |
| 2019 | 11,908 | $534K | |
| 2020 | 2,164 | $90K | |
| 2021 | 13 | $167.44 | |
| 2022 | 53 | $4K | |
| 2023 | 109 | $5K |
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% | 7,070 | 5,998 | $449K |
| 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 | 14% | 1,734 | 1,591 | $155K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 1,054 | 1,044 | $95K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.4% | 921 | 914 | $84K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.3% | 2,434 | 2,406 | $83K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 854 | 807 | $74K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 644 | 634 | $62K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.0% | 3,581 | 3,524 | $34K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 2,237 | 2,205 | $23K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 1.9% | 1,535 | 1,165 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,195 | 1,103 | $13K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 1.0% | 242 | 220 | $12K |
30 more codes
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 95 | $8K |
| 99173 | <1% | 410 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 284 | $5K |
| 92551 | <1% | 373 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 24 | $3K |
| 99188 | <1% | 77 | $2K | |
| 99383 | <1% | 13 | $1K | |
| 99381 | <1% | 13 | $1K | |
| 81002 | <1% | 278 | $728.96 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 51 | $332.39 |
| 92015 | Determination of refractive state | <1% | 26 | $330.07 |
| 81025 | <1% | 31 | $201.80 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $194.61 |
| 90621 | <1% | 25 | $149.79 | |
| J7626 | Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg | <1% | 36 | $105.70 |
| 90715 | <1% | 27 | $98.99 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 1,077 | $80.27 |
| 90686 | <1% | 252 | $75.82 | |
| J7510 | Prednisolone oral, per 5 mg | <1% | 653 | $53.07 |
| A0425 | Ground mileage, per statute mile | <1% | 13 | $46.88 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 162 | $19.36 |
| 90461 | 0% | 61 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 90670 | 0% | 67 | $0.00 | |
| 90685 | 0% | 16 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90647 | 0% | 63 | $0.00 | |
| 96127 | 0% | 60 | $0.00 | |
| 90651 | 0% | 16 | $0.00 | |
| 90723 | 0% | 46 | $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 officialPELAEZ ACOSTA, ALESKA (PRESIDENT)