Physician
Chelmsford Pediatrics
Chelmsford Pediatrics was paid $1.96M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoCHELMSFORD PEDIATRICS
CHELMSFORD, MA 01824
CHELMSFORD, MA 01824
33aNPI1316017536assigned 11/08/2006
33bProvider typePediatrics Physician
28Total paid$1.96M
24GClaims61,806
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#22 of 1,273
Median peer was paid$24K
This provider vs. median82×
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 | 8,058 | $288K | |
| 2019 | 8,721 | $316K | |
| 2020 | 8,677 | $292K | |
| 2021 | 7,518 | $307K | |
| 2022 | 9,773 | $447K | |
| 2023 | 9,680 | $220K | |
| 2024incomplete | 9,379 | $89K |
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 | 48% | 18,928 | 17,750 | $941K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 11,982 | 7,850 | $241K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.0% | 1,252 | 498 | $156K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.1% | 11,066 | 11,025 | $140K |
| 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 | 5.8% | 2,203 | 2,098 | $113K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 1,348 | 1,330 | $90K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 1,306 | 1,305 | $76K |
| 87430 | 2.4% | 3,399 | 3,336 | $46K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 740 | 740 | $44K |
| 90461 | 1.8% | 1,302 | 1,232 | $35K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 221 | 98 | $19K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,385 | 687 | $18K |
25 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 220 | $10K |
| G0008 | Administration of influenza virus vaccine | <1% | 542 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 145 | $7K |
| 87081 | <1% | 925 | $6K | |
| 96127 | <1% | 446 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 126 | $2K |
| 83655 | <1% | 80 | $990.11 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 86 | $778.30 |
| 92587 | <1% | 39 | $687.03 | |
| 92015 | Determination of refractive state | <1% | 28 | $360.64 |
| 99173 | <1% | 12 | $286.02 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12 | $104.04 |
| 90686 | <1% | 2,318 | $89.41 | |
| 96160 | <1% | 18 | $2.14 | |
| 90656 | 0% | 362 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 313 | $0.00 |
| 90723 | 0% | 37 | $0.00 | |
| 90697 | 0% | 91 | $0.00 | |
| 90677 | 0% | 117 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 86 | $0.00 |
| 90685 | 0% | 146 | $0.00 | |
| 90670 | 0% | 264 | $0.00 | |
| 90648 | 0% | 202 | $0.00 | |
| 90633 | 0% | 28 | $0.00 | |
| 90687 | 0% | 31 | $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.
From NPPES
Who's on the registration
Authorized officialNEWMAN, IRVING (SR PARTNER)