Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Peabody › NPI 1316386717
Physician

Rene, Daniel

Rene, Daniel was paid $459K by Medicaid between Apr 2018 and Mar 2023, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoRENE, DANIEL
PEABODY, MA 01960
33aNPI1316386717assigned 06/19/2013
33bProvider typePediatrics Physician
28Total paid$459K
24GClaims10,741
24DCodes billed20
24AFirst – last monthApr 2018 – Mar 2023
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#163 of 1,273
Median peer was paid$24K
This provider vs. median19×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018885$35K
20191,615$67K
20201,610$65K
20212,901$123K
20222,771$124K
2023959$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 2,736 2,699 $157K
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 25% 1,183 1,168 $116K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12% 1,058 1,045 $54K
90460 Immunization administration through 18 years of age via any route, first or only component 8.2% 1,056 892 $38K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4.8% 872 857 $22K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 4.2% 240 239 $19K
99050 2.7% 736 734 $12K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.3% 347 347 $11K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 2.2% 1,127 1,125 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 387 372 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 42 42 $3K
96127 <1% 327 327 $3K
8 more codes
90461 <1% 85 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 25 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 14 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 42 $858.90
94760 <1% 318 $696.19
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 79 $568.15
36416 <1% 54 $540.00
80061 Lipid panel <1% 13 $153.53

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.