Managed care
Reading Pediatric Associates PC
Reading Pediatric Associates PC was paid $141K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoREADING PEDIATRIC ASSOCIATES PC
READING, MA 01867
READING, MA 01867
33aNPI1366729113assigned 11/08/2011
33bProvider typePoint of Service
28Total paid$141K
24GClaims6,146
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Point of Service providers in Massachusetts
Rank by total paid#15 of 19
Median peer was paid$1.04M
This provider vs. median0.1×
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 | 609 | $27K | |
| 2019 | 778 | $39K | |
| 2020 | 823 | $22K | |
| 2021 | 835 | $8K | |
| 2022 | 1,765 | $30K | |
| 2023 | 669 | $9K | |
| 2024incomplete | 667 | $5K |
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 | 48% | 1,414 | 1,333 | $68K |
| 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 | 25% | 408 | 397 | $36K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 437 | 435 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.0% | 260 | 260 | $6K |
| 96127 | 3.6% | 667 | 665 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.6% | 71 | 70 | $4K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.5% | 41 | 41 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 197 | 190 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 24 | 24 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 66 | 32 | $663.88 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 42 | 39 | $481.88 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 12 | 12 | $371.40 |
6 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.
From NPPES
Who's on the registration
Authorized officialVALLES, LUIS (OWNER)