Garber, Richard

Garber, Richard was paid $123K by Medicaid between Mar 2018 and Mar 2023, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoGARBER, RICHARD
FRAMINGHAM, MA 01701

33aNPI1386637171assigned 08/26/2005

33bProvider typePediatrics Physician

28Total paid$123K

24GClaims3,909

24DCodes billed17

24AFirst – last monthMar 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#366 of 1,273

Median peer was paid$24K

This provider vs. median5.1×

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	399	$11K
2019	571	$19K
2020	458	$13K
2021	959	$32K
2022	1,280	$40K
2023	242	$8K

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	45%	961	931	$55K
90460	Immunization administration through 18 years of age via any route, first or only component	19%	591	522	$23K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	11%	257	253	$13K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	7.1%	966	959	$9K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	4.6%	239	233	$6K
99173		2.7%	151	151	$3K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	2.4%	37	36	$3K
96127		2.4%	285	285	$3K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.3%	278	278	$3K
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	1.3%	15	13	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	13	13	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	38	38	$777.10

5 more codes

0071A		<1%	12	$521.16
90461		<1%	12	$403.44
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	13	$402.35
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	27	$323.27
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	14	$171.22

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.