Physician
Pediatric Associates at Northwoods
Pediatric Associates at Northwoods was paid $3.89M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES AT NORTHWOODS
TAUNTON, MA 02780
TAUNTON, MA 02780
33aNPI1396720314assigned 12/13/2005
33bProvider typePediatrics Physician
28Total paid$3.89M
24GClaims130,997
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#9 of 1,273
Median peer was paid$24K
This provider vs. median162×
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 | 21,248 | $647K | |
| 2019 | 20,913 | $633K | |
| 2020 | 16,725 | $544K | |
| 2021 | 18,380 | $696K | |
| 2022 | 19,109 | $761K | |
| 2023 | 19,403 | $407K | |
| 2024incomplete | 15,219 | $201K |
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 | 33% | 26,081 | 24,673 | $1.27M |
| 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% | 7,067 | 6,788 | $456K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7.9% | 6,062 | 5,958 | $306K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.0% | 13,132 | 12,956 | $273K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 3,137 | 3,137 | $215K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 2,659 | 2,472 | $199K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 2,721 | 2,716 | $195K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.2% | 18,406 | 17,716 | $164K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.9% | 1,981 | 1,943 | $153K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.7% | 14,213 | 13,419 | $145K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.7% | 3,516 | 3,457 | $106K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 1,112 | 1,112 | $71K |
30 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 1,654 | $69K |
| 99173 | 1.6% | 3,716 | $64K | |
| 99050 | 1.3% | 4,146 | $49K | |
| 90461 | <1% | 3,558 | $37K | |
| 96127 | <1% | 3,289 | $37K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,678 | $30K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,752 | $20K |
| 94760 | <1% | 3,449 | $7K | |
| 98966 | <1% | 518 | $6K | |
| 87634 | <1% | 57 | $4K | |
| 83655 | <1% | 269 | $3K | |
| 92551 | <1% | 257 | $2K | |
| 69210 | <1% | 35 | $1K | |
| 99188 | <1% | 38 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 60 | $882.97 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 28 | $633.42 |
| 99051 | <1% | 25 | $397.44 | |
| 83718 | <1% | 24 | $166.06 | |
| 81003 | <1% | 83 | $164.22 | |
| 99000 | <1% | 3,658 | $121.10 | |
| 94761 | <1% | 25 | $100.25 | |
| 82465 | <1% | 24 | $88.32 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 41 | $75.00 |
| 90686 | <1% | 265 | $64.56 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 41 | $15.15 |
| 96160 | <1% | 110 | $12.09 | |
| 96161 | <1% | 14 | $7.72 | |
| 90698 | 0% | 13 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90670 | 0% | 71 | $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 officialTOMASE, FRANK (PRESIDENT)