Physician
Rios, Lydia
Rios, Lydia was paid $598K by Medicaid between Mar 2018 and May 2022, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoRIOS, LYDIA
BRAINTREE, MA 02184
BRAINTREE, MA 02184
33aNPI1316927320assigned 01/18/2006
33bProvider typePediatrics Physician
28Total paid$598K
24GClaims9,311
24DCodes billed19
24AFirst – last monthMar 2018 – May 2022
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#133 of 1,273
Median peer was paid$24K
This provider vs. median25×
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 | 2,158 | $188K | |
| 2019 | 3,105 | $119K | |
| 2020 | 1,649 | $102K | |
| 2021 | 1,653 | $129K | |
| 2022 | 746 | $61K |
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 | 27% | 1,715 | 1,674 | $161K |
| 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 | 18% | 623 | 610 | $107K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.9% | 407 | 407 | $53K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.1% | 352 | 352 | $49K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.7% | 1,189 | 619 | $40K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.5% | 501 | 492 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 285 | 285 | $33K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.2% | 1,006 | 1,004 | $31K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 204 | 189 | $29K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 549 | 549 | $12K |
| 99051 | 1.8% | 483 | 478 | $11K | |
| 90461 | 1.7% | 678 | 193 | $10K |
7 more codes
| 96127 | 1.3% | 448 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 351 | $7K |
| 87081 | <1% | 271 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 186 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 25 | $1K |
| 83655 | <1% | 26 | $433.94 | |
| 85027 | <1% | 12 | $106.92 |
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.