Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rukmini S Kenia MD PC

Rukmini S Kenia MD PC was paid $1.59M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoRUKMINI S KENIA MD PC
WESTFIELD, MA 01085
33aNPI1225297112assigned 06/05/2008
33bProvider typePediatrics Physician
28Total paid$1.59M
24GClaims38,622
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#40 of 1,273
Median peer was paid$24K
This provider vs. median66×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20183,526$115K
20194,509$140K
20203,733$137K
20213,878$173K
20225,806$261K
20238,670$378K
2024incomplete8,500$383K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51% 13,332 10,852 $817K
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 8.2% 1,576 1,433 $130K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.7% 1,123 1,112 $107K
90460 Immunization administration through 18 years of age via any route, first or only component 6.0% 3,456 3,386 $96K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.9% 1,072 1,066 $94K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.3% 956 952 $85K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.2% 604 596 $51K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.0% 4,804 4,730 $48K
87428 2.3% 591 571 $37K
99173 2.3% 1,627 1,618 $36K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.7% 951 892 $27K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.4% 1,893 1,772 $22K
19 more codes
96127 <1% 1,207 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 56 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 428 $5K
90461 <1% 726 $5K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 61 $4K
94760 <1% 1,609 $3K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 230 $2K
81003 <1% 987 $2K
87807 <1% 131 $1K
99203 Doctor's office visit, new patient (routine) <1% 14 $1K
99051 <1% 35 $579.60
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12 $488.40
90473 <1% 14 $143.15
90671 0% 24 $0.00
90633 0% 24 $0.00
90734 0% 13 $0.00
90686 0% 931 $0.00
90677 0% 85 $0.00
90651 0% 50 $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 officialKENIA, RUKMINI (MD)