Rosenthal, Marc

Rosenthal, Marc was paid $109K by Medicaid between Nov 2018 and Mar 2023, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoROSENTHAL, MARC
BURLINGTON, MA 01803

33aNPI1346225083assigned 12/14/2005

33bProvider typePediatrics Physician

28Total paid$109K

24GClaims1,124

24DCodes billed11

24AFirst – last monthNov 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#379 of 1,273

Median peer was paid$24K

This provider vs. median4.5×

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	23	$1K
2019	13	$1K
2020	17	$2K
2021	144	$18K
2022	884	$80K
2023	43	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	40%	174	171	$44K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	423	413	$36K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	17%	233	228	$18K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.6%	127	124	$4K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.8%	14	14	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.5%	38	38	$2K
87400		1.3%	43	42	$1K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	23	13	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	18	18	$331.92
87807		<1%	15	15	$255.97
87081		<1%	16	16	$145.92

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.