Physician
Stafford Pediatric Associates
Stafford Pediatric Associates was paid $1.76M by Medicaid between Jan 2018 and Oct 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoSTAFFORD PEDIATRIC ASSOCIATES
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
33aNPI1235144064assigned 07/30/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.76M
24GClaims69,086
24DCodes billed39
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Massachusetts
Rank by total paid#6 of 54
Median peer was paid$119K
This provider vs. median15×
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 | 12,016 | $327K | |
| 2019 | 13,060 | $335K | |
| 2020 | 10,234 | $234K | |
| 2021 | 9,009 | $220K | |
| 2022 | 10,280 | $249K | |
| 2023 | 9,562 | $244K | |
| 2024incomplete | 4,925 | $152K |
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 | 37% | 11,074 | 10,240 | $643K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.8% | 6,673 | 6,645 | $155K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.9% | 1,615 | 1,614 | $139K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.9% | 1,716 | 1,716 | $139K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 1,605 | 1,603 | $129K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 1,546 | 1,530 | $117K |
| 99173 | 6.4% | 5,066 | 5,063 | $113K | |
| 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 | 6.1% | 1,316 | 1,291 | $107K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.5% | 9,681 | 9,639 | $97K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 5.2% | 9,685 | 9,642 | $92K |
| 90461 | <1% | 6,104 | 3,294 | $12K | |
| 94760 | <1% | 2,522 | 2,397 | $5K |
27 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 53 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 347 | $4K |
| 90651 | <1% | 701 | $791.96 | |
| 0072A | <1% | 15 | $688.05 | |
| 0071A | <1% | 15 | $642.18 | |
| 90658 | <1% | 3,018 | $569.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $417.12 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 32 | $389.10 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 16 | $158.84 |
| 90734 | <1% | 113 | $105.51 | |
| 94761 | <1% | 17 | $54.56 | |
| 96160 | <1% | 12 | $21.84 | |
| 90723 | 0% | 343 | $0.00 | |
| 90680 | 0% | 517 | $0.00 | |
| 90657 | 0% | 495 | $0.00 | |
| 90697 | 0% | 174 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 90619 | 0% | 76 | $0.00 | |
| 91307 | 0% | 34 | $0.00 | |
| 90748 | 0% | 35 | $0.00 | |
| 90648 | 0% | 661 | $0.00 | |
| 90633 | 0% | 2,008 | $0.00 | |
| 90670 | 0% | 1,135 | $0.00 | |
| 90715 | 0% | 24 | $0.00 | |
| 99420 | 0% | 556 | $0.00 | |
| 90700 | 0% | 24 | $0.00 | |
| 90710 | 0% | 25 | $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 officialKRUCZYNSKA, REGINA (MEDICAL DIRECTOR)