Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › East Longmeadow › NPI 1437124591
Physician

Adams, Michelle

Adams, Michelle was paid $97K by Medicaid between Jan 2018 and Mar 2023, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoADAMS, MICHELLE
EAST LONGMEADOW, MA 01028
33aNPI1437124591assigned 02/22/2006
28Total paid$97K
24GClaims1,947
24DCodes billed15
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Massachusetts

Rank by total paid#31 of 54
Median peer was paid$119K
This provider vs. median0.8×

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$10K$20K2018201920202021202220232024
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
2018436$20K
2019184$9K
202092$6K
2021148$7K
2022350$17K
2023737$39K
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 59% 862 820 $57K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 16% 112 112 $15K
90460 Immunization administration through 18 years of age via any route, first or only component 4.6% 91 91 $4K
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 3.8% 35 33 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.5% 317 314 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.5% 121 121 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.5% 29 29 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.2% 27 27 $2K
90461 1.6% 44 44 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.3% 13 13 $1K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 1.3% 135 134 $1K
99173 1.1% 47 47 $1K
3 more codes
96127 <1% 66 $688.09
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 36 $432.24
85018 <1% 12 $32.16

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.