Price, Claire

Price, Claire was paid $29K by Medicaid between Mar 2018 and Mar 2023, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoPRICE, CLAIRE
HOPKINTON, MA 01748

33aNPI1215962360assigned 07/11/2006

33bProvider typePediatrics Physician

28Total paid$29K

24GClaims1,085

24DCodes billed8

24AFirst – last monthMar 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#596 of 1,273

Median peer was paid$24K

This provider vs. median1.2×

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	254	$5K
2019	224	$6K
2020	245	$8K
2021	132	$3K
2022	190	$5K
2023	40	$1K

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	53%	261	246	$15K
90460	Immunization administration through 18 years of age via any route, first or only component	29%	298	230	$8K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	9.5%	302	302	$3K
96127		3.8%	105	95	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.8%	77	65	$790.79
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	1.5%	18	18	$443.27
99177		<1%	12	12	$210.00
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	12	12	$131.40

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.