Physician
Roman, Peter
Roman, Peter was paid $212K by Medicaid between Aug 2018 and Mar 2023, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoROMAN, PETER
MANSFIELD, MA 02048
MANSFIELD, MA 02048
33aNPI1255719811assigned 05/14/2015
33bProvider typePediatrics Physician
28Total paid$212K
24GClaims5,704
24DCodes billed16
24AFirst – last monthAug 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#275 of 1,273
Median peer was paid$24K
This provider vs. median8.9×
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 | 919 | $33K | |
| 2019 | 2,360 | $86K | |
| 2020 | 1,827 | $72K | |
| 2022 | 434 | $15K | |
| 2023 | 164 | $6K |
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 | 44% | 1,494 | 1,347 | $93K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 18% | 909 | 906 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.4% | 193 | 193 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 191 | 191 | $17K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 6.2% | 1,323 | 1,317 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 147 | 144 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.2% | 781 | 777 | $9K |
| 99173 | 2.8% | 243 | 243 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 121 | 121 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | 16 | $2K |
| 92551 | <1% | 114 | 114 | $1K | |
| 90461 | <1% | 12 | 12 | $373.92 |
4 more codes
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.