EAST SIDE PEDIATRICS PC
NPI: 1285815993
· RUMFORD, RI 02916
· 208000000X
$1.22M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
2,026 |
$130K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
6,714 |
5,891 |
$421K |
| 99214 |
|
3,531 |
3,048 |
$317K |
| 90460 |
|
4,011 |
3,633 |
$81K |
| 99393 |
|
732 |
659 |
$67K |
| 92587 |
|
1,023 |
1,005 |
$58K |
| 87428 |
|
939 |
910 |
$53K |
| 99394 |
|
441 |
390 |
$46K |
| 99392 |
|
515 |
445 |
$43K |
| 90461 |
|
1,134 |
976 |
$36K |
| 99391 |
|
454 |
322 |
$34K |
| 99174 |
|
522 |
492 |
$15K |
| 87880 |
|
1,160 |
1,047 |
$13K |
| 87635 |
|
187 |
184 |
$9K |
| 87426 |
|
142 |
142 |
$4K |
| 99212 |
|
79 |
78 |
$4K |
| 90471 |
|
410 |
348 |
$4K |
| 87804 |
|
299 |
290 |
$4K |
| 83655 |
|
641 |
544 |
$3K |
| 87430 |
|
152 |
148 |
$2K |
| 87400 |
|
136 |
128 |
$1K |
| 85018 |
|
659 |
556 |
$1K |
| 87807 |
|
24 |
24 |
$239.21 |
| 81002 |
|
44 |
42 |
$96.53 |
| 90686 |
|
27 |
27 |
$13.00 |