Physician
Medical Associates Pediatrics, P.C.
Medical Associates Pediatrics, P.C. was paid $2.10M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoMEDICAL ASSOCIATES PEDIATRICS, P.C.
LEOMINSTER, MA 01453
LEOMINSTER, MA 01453
33aNPI1417946161assigned 10/17/2005
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.10M
24GClaims125,775
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Massachusetts
Rank by total paid#5 of 54
Median peer was paid$119K
This provider vs. median18×
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 | 27,410 | $708K | |
| 2019 | 1,246 | $32K | |
| 2020 | 1,075 | $20K | |
| 2021 | 2,653 | $25K | |
| 2022 | 2,960 | $28K | |
| 2023 | 36,971 | $470K | |
| 2024incomplete | 53,460 | $813K |
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 | 18% | 18,888 | 18,213 | $370K |
| 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 | 13% | 11,023 | 10,724 | $281K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 11% | 2,744 | 2,720 | $225K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 10% | 4,320 | 4,277 | $211K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 7.5% | 5,288 | 5,201 | $156K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 5.0% | 13,979 | 13,950 | $105K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.7% | 9,799 | 9,631 | $99K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.6% | 15,161 | 8,538 | $96K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.0% | 652 | 651 | $84K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.0% | 303 | 279 | $83K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 3,282 | 3,279 | $55K |
| 92552 | 2.6% | 2,060 | 2,049 | $54K |
48 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 2,440 | $49K |
| 96127 | 2.0% | 4,283 | $42K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.8% | 2,775 | $39K |
| 87634 | 1.2% | 432 | $26K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 134 | $18K |
| 99188 | <1% | 631 | $17K | |
| 90480 | <1% | 386 | $14K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,491 | $13K |
| 83655 | <1% | 915 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 702 | $8K |
| 99050 | <1% | 487 | $8K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 38 | $7K |
| 99381 | <1% | 64 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 638 | $4K |
| 85018 | <1% | 1,384 | $3K | |
| 87081 | <1% | 442 | $3K | |
| 83718 | <1% | 264 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 13 | $2K |
| 99051 | <1% | 1,052 | $2K | |
| 82465 | <1% | 266 | $1K | |
| 90651 | <1% | 136 | $879.48 | |
| 90686 | <1% | 1,489 | $814.00 | |
| 99173 | <1% | 151 | $653.28 | |
| 0124A | <1% | 13 | $596.31 | |
| 90656 | <1% | 1,321 | $424.56 | |
| 92551 | <1% | 39 | $387.27 | |
| 81003 | <1% | 177 | $330.66 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 66 | $279.24 |
| 96380 | <1% | 15 | $263.40 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 14 | $260.00 |
| 90473 | <1% | 29 | $245.40 | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 12 | $119.52 |
| 90461 | <1% | 766 | $67.36 | |
| 99072 | <1% | 4,290 | $37.50 | |
| 90670 | 0% | 143 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 8,280 | $0.00 |
| 90633 | 0% | 209 | $0.00 | |
| 90648 | 0% | 145 | $0.00 | |
| 90672 | 0% | 12 | $0.00 | |
| 90697 | 0% | 381 | $0.00 | |
| 99000 | 0% | 274 | $0.00 | |
| 90677 | 0% | 891 | $0.00 | |
| 90619 | 0% | 132 | $0.00 | |
| 90680 | 0% | 338 | $0.00 | |
| 36416 | 0% | 65 | $0.00 | |
| 91319 | 0% | 24 | $0.00 | |
| 96161 | 0% | 12 | $0.00 | |
| 90381 | 0% | 15 | $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 officialOHEAR, NEIL (ADMINSITRATOR)