Physician
Tricia Vorderstrasse MD PC
Tricia Vorderstrasse MD PC was paid $423K by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoTRICIA VORDERSTRASSE MD PC
GARDNER, MA 01440
GARDNER, MA 01440
33aNPI1356462410assigned 04/03/2007
33bProvider typeFamily Medicine Physician
28Total paid$423K
24GClaims15,515
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#52 of 744
Median peer was paid$10K
This provider vs. median40×
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 | 1,494 | $39K | |
| 2019 | 1,948 | $43K | |
| 2020 | 1,845 | $39K | |
| 2021 | 2,163 | $64K | |
| 2022 | 2,929 | $81K | |
| 2023 | 2,889 | $79K | |
| 2024incomplete | 2,247 | $78K |
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 | 46% | 4,421 | 3,834 | $197K |
| 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 | 36% | 3,904 | 3,531 | $151K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.1% | 944 | 686 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 675 | 665 | $7K |
| 90682 | 1.5% | 207 | 205 | $6K | |
| 97814 | 1.4% | 109 | 33 | $6K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 1.4% | 635 | 624 | $6K |
| 99173 | 1.2% | 228 | 227 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 173 | 171 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 38 | 38 | $4K |
| 97810 | <1% | 109 | 33 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 167 | 162 | $3K |
28 more codes
| 92551 | <1% | 234 | $2K | |
| 91322 | <1% | 32 | $2K | |
| 81002 | <1% | 994 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 16 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 96127 | <1% | 884 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 176 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 85 | $932.12 |
| 0124A | <1% | 41 | $884.45 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 87 | $846.11 |
| 90686 | <1% | 164 | $751.03 | |
| 90480 | <1% | 37 | $743.75 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 380 | $557.88 |
| 0004A | <1% | 14 | $358.35 | |
| 80061 | Lipid panel | <1% | 184 | $300.33 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $160.38 |
| 90662 | <1% | 67 | $130.52 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 13 | $125.58 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 38 | $94.75 |
| 81003 | <1% | 62 | $67.45 | |
| ATP03 | <1% | 24 | $48.35 | |
| 80305 | <1% | 13 | $40.72 | |
| G0008 | Administration of influenza virus vaccine | <1% | 210 | $37.50 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 13 | $26.98 |
| 1101F | 0% | 32 | $0.00 | |
| 91312 | 0% | 29 | $0.00 | |
| 99072 | 0% | 35 | $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 officialVORDERSTRASSE, TRICIA (PRESIDENT)