Physician
Callahan, Albert
Callahan, Albert was paid $509K by Medicaid between Jan 2018 and Jul 2022, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoCALLAHAN, ALBERT
WEST SPRINGFIELD, MA 01089
WEST SPRINGFIELD, MA 01089
33aNPI1295722239assigned 10/04/2005
33bProvider typePediatrics Physician
28Total paid$509K
24GClaims14,084
24DCodes billed21
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#148 of 1,273
Median peer was paid$24K
This provider vs. median21×
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 | 2,558 | $90K | |
| 2019 | 5,444 | $202K | |
| 2020 | 2,970 | $105K | |
| 2021 | 1,806 | $63K | |
| 2022 | 1,306 | $48K |
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 | 39% | 3,406 | 3,238 | $197K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 1,826 | 1,668 | $77K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 541 | 541 | $44K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 509 | 509 | $42K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.0% | 2,440 | 2,431 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 305 | 304 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 256 | 256 | $23K |
| 90461 | 4.1% | 629 | 628 | $21K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.8% | 2,116 | 2,116 | $19K |
| 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 | 3.5% | 214 | 211 | $18K |
| 99177 | <1% | 290 | 290 | $5K | |
| 99051 | <1% | 239 | 237 | $4K |
9 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 261 | $3K |
| 92587 | <1% | 98 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 82 | $2K |
| 85018 | <1% | 416 | $973.48 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 25 | $607.56 |
| 96127 | <1% | 58 | $595.66 | |
| 99000 | <1% | 343 | $414.00 | |
| 36416 | <1% | 16 | $160.00 | |
| 90633 | 0% | 14 | $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.