Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC ASSOCIATES AT NORTHWOODS

NPI: 1396720314 · TAUNTON, MA 02780 · Pediatrics Physician · NPI assigned 12/13/2005

$3.89M
Total Medicaid Paid
130,997
Total Claims
126,704
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOMASE, FRANK (PRESIDENT)
NPI Enumeration Date12/13/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 15,219 $201K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,081 24,673 $1.27M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,067 6,788 $456K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,062 5,958 $306K
90460 Immunization administration through 18 years of age via any route, first or only component 13,132 12,956 $273K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,137 3,137 $215K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,659 2,472 $199K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 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) 18,406 17,716 $164K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,981 1,943 $153K
96110 Developmental screening, with scoring and documentation, per standardized instrument 14,213 13,419 $145K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,516 3,457 $106K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,112 1,112 $71K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,654 1,592 $69K
99173 3,716 3,703 $64K
99050 4,146 4,076 $49K
90461 3,558 3,549 $37K
96127 3,289 3,266 $37K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,678 2,639 $30K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,752 2,741 $20K
94760 3,449 3,276 $7K
98966 518 503 $6K
87634 57 57 $4K
83655 269 267 $3K
92551 257 257 $2K
69210 35 31 $1K
99188 38 38 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 60 53 $882.97
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 28 27 $633.42
99051 25 25 $397.44
83718 24 24 $166.06
81003 83 78 $164.22
99000 3,658 3,548 $121.10
94761 25 25 $100.25
82465 24 24 $88.32
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 41 41 $75.00
90686 265 264 $64.56
A7015 Aerosol mask, used with dme nebulizer 41 41 $15.15
96160 110 106 $12.09
96161 14 12 $7.72
90698 13 12 $0.00
90680 12 12 $0.00
90670 71 70 $0.00