Children's Hospital Pediatric Associates, INC

Children's Hospital Pediatric Associates, INC was paid $19.08M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99284, emergency room visit (serious) — 36% of everything it billed.

33Billing provider infoCHILDREN'S HOSPITAL PEDIATRIC ASSOCIATES, INC
BOSTON, MA 02115

33aNPI1457306664assigned 05/24/2006

33bProvider typePediatric Gastroenterology Physician

28Total paid$19.08M

24GClaims256,060

24DCodes billed66

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Massachusetts

Rank by total paid#1 of 22

Median peer was paid$9K

This provider vs. median2,235×

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	29,194	$1.85M
2019	25,169	$1.46M
2020	12,334	$822K
2021	19,973	$1.40M
2022	27,934	$2.08M
2023	67,485	$5.44M
2024incomplete	73,971	$6.03M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	36%	73,112	72,783	$6.80M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	16%	59,127	58,927	$3.04M
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	15%	39,767	38,334	$2.77M
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	9.6%	18,711	18,317	$1.84M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	5.3%	7,321	7,268	$1.02M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	3.0%	7,889	3,649	$566K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.2%	3,406	3,396	$419K
99460		1.6%	3,268	3,263	$310K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.5%	3,036	1,104	$283K
99239	Hospital discharge day management, more than 30 minutes	1.3%	3,028	2,985	$252K
99462		1.1%	5,389	4,616	$219K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	4,267	4,217	$216K

54 more codes

99238	Hospital discharge day management, 30 minutes or less	<1%	3,398	$178K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	1,978	$150K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	1,401	$114K
99205	Prolong outpt/office vis	<1%	670	$106K
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	<1%	269	$95K
99203	Doctor's office visit, new patient (routine)	<1%	1,011	$81K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	153	$71K
99222	Initial hospital care, per day, moderate complexity	<1%	552	$66K
99480	Subsequent intensive care, per day, low birth weight infant	<1%	559	$54K
90834	Psychotherapy session, about 45 minutes	<1%	140	$48K
94010		<1%	7,054	$44K
99479	Subsequent intensive care, per day, very low birth weight infant	<1%	380	$37K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	625	$23K
J0475	Injection, baclofen, 10 mg	<1%	41	$22K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	136	$21K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	334	$19K
83036	Hemoglobin; glycosylated (A1C)	<1%	2,136	$18K
96133		<1%	15	$18K
99245		<1%	107	$18K
96137		<1%	12	$15K
99463		<1%	106	$13K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	88	$12K
96112		<1%	15	$11K
99451		<1%	378	$10K
81000		<1%	3,214	$10K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	85	$9K
96132		<1%	12	$8K
95251		<1%	290	$8K
91200		<1%	846	$8K
99223	Prolong inpt eval add15 m	<1%	37	$6K
99221		<1%	67	$6K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	95	$4K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	64	$4K
95782		<1%	38	$4K
99464		<1%	64	$3K
70450	Computed tomography, head or brain; without contrast material	<1%	140	$3K
96136		<1%	12	$3K
94618		<1%	164	$3K
93784		<1%	62	$2K
99417	Prolong home eval add 15m	<1%	68	$2K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	219	$2K
90691		<1%	25	$2K
94060		<1%	205	$2K
31624		<1%	14	$2K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	12	$1K
94726		<1%	126	$1K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	58	$998.99
97802		<1%	12	$843.24
77080		<1%	82	$691.92
94729		<1%	102	$639.06
97803		<1%	12	$634.71
99401		<1%	26	$393.60
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	18	$224.70
94760		<1%	12	$12.67

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 officialCHUNG, WENDY (CHIEF, DEPARTMENT OF PEDIATRICS)