Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Community Pediatrics PC

Community Pediatrics PC was paid $177K by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoCOMMUNITY PEDIATRICS PC
QUINCY, MA 02171
33aNPI1386768752assigned 03/19/2007
33bProvider typePediatrics Physician
28Total paid$177K
24GClaims7,752
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#311 of 1,273
Median peer was paid$24K
This provider vs. median7.4×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,512$57K
20191,353$53K
2020562$25K
2021363$5K
20231,766$16K
2024incomplete2,196$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 1,723 1,459 $65K
99354 35% 635 584 $62K
90480 5.8% 259 257 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5.6% 194 188 $10K
90460 Immunization administration through 18 years of age via any route, first or only component 4.5% 855 688 $8K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.1% 44 44 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.0% 260 248 $4K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 2.0% 475 469 $4K
96127 2.0% 349 347 $4K
92552 1.1% 73 72 $2K
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% 553 495 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 44 43 $1K
37 more codes
94664 <1% 51 $692.93
92551 <1% 177 $642.88
91322 <1% 38 $581.12
H0049 Alcohol and/or drug screening <1% 14 $336.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 $243.60
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 171 $161.25
G0444 Annual depression screening, 5 to 15 minutes <1% 14 $119.98
86580 <1% 14 $108.36
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 47 $82.86
99173 <1% 120 $46.34
90686 <1% 152 $40.00
80061 Lipid panel 0% 74 $0.00
99080 0% 124 $0.00
99051 0% 53 $0.00
86480 0% 15 $0.00
91321 0% 95 $0.00
87806 0% 14 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 0% 13 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 12 $0.00
99172 0% 177 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 14 $0.00
80053 Comprehensive metabolic panel 0% 76 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 30 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 0% 12 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 0% 74 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 76 $0.00
81005 0% 84 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 169 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 74 $0.00
87070 0% 15 $0.00
90656 0% 185 $0.00
G9275 Documentation that patient is a current non-tobacco user 0% 15 $0.00
99406 0% 14 $0.00
86592 0% 14 $0.00
1000F 0% 15 $0.00
1036F 0% 15 $0.00
84479 0% 19 $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 officialLENNON, ANNE (PRESIDENT)