Physician
Tri-County Pediatric Associates, P.C.
Tri-County Pediatric Associates, P.C. was paid $644K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoTRI-COUNTY PEDIATRIC ASSOCIATES, P.C.
STOUGHTON, MA 02072
STOUGHTON, MA 02072
33aNPI1346202066assigned 04/06/2006
33bProvider typePediatrics Physician
28Total paid$644K
24GClaims24,085
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#117 of 1,273
Median peer was paid$24K
This provider vs. median27×
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 | 3,925 | $120K | |
| 2019 | 3,689 | $109K | |
| 2020 | 3,175 | $73K | |
| 2021 | 4,075 | $122K | |
| 2022 | 3,964 | $144K | |
| 2023 | 2,768 | $54K | |
| 2024incomplete | 2,489 | $23K |
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 | 47% | 5,882 | 5,466 | $300K |
| 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 | 15% | 1,192 | 1,120 | $99K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 8.7% | 1,220 | 1,093 | $56K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.2% | 2,198 | 2,186 | $53K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.6% | 3,122 | 3,113 | $30K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.6% | 2,939 | 2,861 | $30K |
| 96127 | 2.4% | 1,647 | 1,637 | $16K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 768 | 753 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 751 | 519 | $10K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.3% | 354 | 339 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 172 | 172 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 358 | 355 | $6K |
16 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 63 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 27 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 38 | $2K |
| 92551 | <1% | 200 | $2K | |
| 90461 | <1% | 93 | $2K | |
| 99173 | <1% | 99 | $2K | |
| 99188 | <1% | 53 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $1K |
| 85018 | <1% | 329 | $695.47 | |
| 90686 | <1% | 1,308 | $416.36 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 12 | $0.12 |
| 90670 | 0% | 12 | $0.00 | |
| 90685 | 0% | 15 | $0.00 | |
| 94760 | 0% | 775 | $0.00 | |
| 99000 | 0% | 433 | $0.00 | |
| 91307 | 0% | 13 | $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 officialRINGEL, RICHARD (PRESIDENT)