Pediatric Associates

Pediatric Associates was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoPEDIATRIC ASSOCIATES
EAST PROVIDENCE, RI 02914

33aNPI1205974623assigned 02/01/2007

33bProvider typePediatrics Physician

28Total paid$1.30M

24GClaims27,498

24DCodes billed25

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#10 of 265

Median peer was paid$133K

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	2,916	$112K
2019	3,037	$114K
2020	1,884	$60K
2021	2,285	$73K
2022	4,464	$221K
2023	6,926	$388K
2024incomplete	5,986	$333K

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	61%	11,031	10,232	$789K
90460	Immunization administration through 18 years of age via any route, first or only component	11%	7,508	7,160	$140K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	8.9%	1,152	1,137	$116K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.4%	758	701	$71K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.4%	571	555	$57K
90461		4.0%	1,543	1,481	$52K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.3%	276	262	$30K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	281	272	$7K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	639	589	$6K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	710	684	$5K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	184	181	$5K
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%	43	40	$5K

13 more codes

87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	309	$4K
96127		<1%	931	$3K
90480		<1%	74	$3K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	200	$3K
87081		<1%	581	$3K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	26	$1K
99177		<1%	229	$1K
96161		<1%	171	$650.48
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	26	$577.50
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	$487.24
99173		<1%	116	$238.70
90686		<1%	93	$45.00
90656		<1%	33	$16.00

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 officialTOWNSEND, KIMBERLEY (PRESIDENT)