Physician
Baumel, Andrew
Baumel, Andrew was paid $146K by Medicaid between Mar 2018 and Mar 2023, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoBAUMEL, ANDREW
FRAMINGHAM, MA 01701
FRAMINGHAM, MA 01701
33aNPI1346233210assigned 08/25/2005
33bProvider typePediatrics Physician
28Total paid$146K
24GClaims4,854
24DCodes billed17
24AFirst – last monthMar 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#336 of 1,273
Median peer was paid$24K
This provider vs. median6.1×
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 | 863 | $21K | |
| 2019 | 961 | $27K | |
| 2020 | 855 | $26K | |
| 2021 | 1,235 | $42K | |
| 2022 | 756 | $24K | |
| 2023 | 184 | $7K |
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 | 35% | 895 | 855 | $51K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 660 | 523 | $20K |
| 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 | 12% | 174 | 167 | $17K |
| 99173 | 8.0% | 553 | 553 | $12K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.9% | 126 | 126 | $12K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 7.3% | 1,184 | 1,177 | $11K |
| 96127 | 5.0% | 710 | 710 | $7K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.0% | 115 | 113 | $6K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.1% | 127 | 123 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 26 | 26 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 75 | 75 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 134 | 133 | $1K |
5 more codes
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.