Rounds, Margaret

Rounds, Margaret was paid $521K by Medicaid between Jan 2018 and Mar 2023, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.

33Billing provider infoROUNDS, MARGARET
HOLYOKE, MA 01040

33aNPI1245277854assigned 06/01/2006

33bProvider typePediatrics Physician

28Total paid$521K

24GClaims12,548

24DCodes billed26

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#145 of 1,273

Median peer was paid$24K

This provider vs. median22×

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	557	$19K
2019	1,051	$37K
2020	2,624	$95K
2021	3,309	$129K
2022	4,172	$199K
2023	835	$42K

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	24%	2,345	2,276	$127K
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	16%	830	811	$84K
90460	Immunization administration through 18 years of age via any route, first or only component	14%	1,462	1,459	$72K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	9.0%	345	343	$47K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.5%	465	465	$39K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.2%	409	400	$32K
90461		4.7%	686	686	$25K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	3.7%	2,122	2,106	$19K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.0%	1,445	1,410	$15K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.9%	182	182	$15K
99173		2.6%	601	601	$13K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.6%	89	89	$8K

14 more codes

96127		1.5%	735	$8K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.1%	287	$6K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	208	$5K
0071A		<1%	42	$2K
99188		<1%	42	$1K
0072A		<1%	14	$642.32
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	45	$537.12
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	$522.24
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	13	$402.35
92551		<1%	32	$324.66
99051		<1%	18	$298.08
94760		<1%	68	$165.44
85018		<1%	39	$95.02
99177		<1%	12	$44.64

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.