Medicaid Provider Spending

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

MEDICAL ASSOCIATES PEDIATRICS, P.C.

NPI: 1417946161 · LEOMINSTER, MA 01453 · Pediatric Adolescent Medicine Physician · NPI assigned 10/17/2005

$2.10M
Total Medicaid Paid
125,775
Total Claims
116,789
Beneficiaries
60
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOHEAR, NEIL (ADMINSITRATOR)
NPI Enumeration Date10/17/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 53,460 $813K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,888 18,213 $370K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,023 10,724 $281K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2,744 2,720 $225K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,320 4,277 $211K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 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) 13,979 13,950 $105K
96110 Developmental screening, with scoring and documentation, per standardized instrument 9,799 9,631 $99K
90460 Immunization administration through 18 years of age via any route, first or only component 15,161 8,538 $96K
90791 Psychiatric diagnostic evaluation 652 651 $84K
90837 Psychotherapy, 53 minutes with patient 303 279 $83K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,282 3,279 $55K
92552 2,060 2,049 $54K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,440 2,398 $49K
96127 4,283 4,266 $42K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,775 2,763 $39K
87634 432 430 $26K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 134 133 $18K
99188 631 616 $17K
90480 386 375 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,491 1,487 $13K
83655 915 914 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 702 689 $8K
99050 487 477 $8K
90834 Psychotherapy, 45 minutes with patient 38 38 $7K
99381 64 64 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 638 637 $4K
85018 1,384 1,381 $3K
87081 442 437 $3K
83718 264 264 $2K
90832 Psychotherapy, 30 minutes with patient 13 13 $2K
99051 1,052 1,042 $2K
82465 266 266 $1K
90651 136 136 $879.48
90686 1,489 1,488 $814.00
99173 151 151 $653.28
0124A 13 13 $596.31
90656 1,321 1,304 $424.56
92551 39 39 $387.27
81003 177 176 $330.66
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 66 66 $279.24
96380 15 15 $263.40
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 14 13 $260.00
90473 29 29 $245.40
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 12 12 $119.52
90461 766 758 $67.36
99072 4,290 3,934 $37.50
90670 143 143 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 8,280 7,823 $0.00
90633 209 209 $0.00
90648 145 145 $0.00
90672 12 12 $0.00
90697 381 379 $0.00
99000 274 271 $0.00
90677 891 887 $0.00
90619 132 132 $0.00
90680 338 337 $0.00
36416 65 65 $0.00
91319 24 24 $0.00
96161 12 12 $0.00
90381 15 14 $0.00