Physician
East Side Pediatrics PC
East Side Pediatrics PC was paid $1.22M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoEAST SIDE PEDIATRICS PC
RUMFORD, RI 02916
RUMFORD, RI 02916
33aNPI1285815993assigned 11/21/2007
33bProvider typePediatrics Physician
28Total paid$1.22M
24GClaims23,976
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#13 of 265
Median peer was paid$133K
This provider vs. median9.2×
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 | 6,696 | $318K | |
| 2019 | 6,324 | $294K | |
| 2020 | 2,131 | $84K | |
| 2021 | 1,335 | $55K | |
| 2022 | 2,270 | $134K | |
| 2023 | 3,194 | $201K | |
| 2024incomplete | 2,026 | $130K |
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 | 35% | 6,714 | 5,891 | $421K |
| 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 | 26% | 3,531 | 3,048 | $317K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 4,011 | 3,633 | $81K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 732 | 659 | $67K |
| 92587 | 4.8% | 1,023 | 1,005 | $58K | |
| 87428 | 4.3% | 939 | 910 | $53K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 441 | 390 | $46K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 515 | 445 | $43K |
| 90461 | 3.0% | 1,134 | 976 | $36K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 454 | 322 | $34K |
| 99174 | 1.2% | 522 | 492 | $15K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.0% | 1,160 | 1,047 | $13K |
12 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 187 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 142 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 79 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 410 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 299 | $4K |
| 83655 | <1% | 641 | $3K | |
| 87430 | <1% | 152 | $2K | |
| 87400 | <1% | 136 | $1K | |
| 85018 | <1% | 659 | $1K | |
| 87807 | <1% | 24 | $239.21 | |
| 81002 | <1% | 44 | $96.53 | |
| 90686 | <1% | 27 | $13.00 |
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 officialMOROCCO, WILLIAM (OWNER)