Bloom, Richard

Bloom, Richard was paid $557K by Medicaid between Jan 2018 and Mar 2023, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.

33Billing provider infoBLOOM, RICHARD
YARMOUTH PORT, MA 02675

33aNPI1457375156assigned 07/26/2006

33bProvider typePediatrics Physician

28Total paid$557K

24GClaims14,843

24DCodes billed29

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#141 of 1,273

Median peer was paid$24K

This provider vs. median23×

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	3,464	$129K
2019	3,759	$131K
2020	3,609	$128K
2021	1,939	$75K
2022	1,794	$82K
2023	278	$13K

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	31%	3,050	2,875	$173K
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	19%	1,136	1,097	$104K
90460	Immunization administration through 18 years of age via any route, first or only component	10%	2,007	1,542	$58K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.5%	476	476	$42K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.2%	482	482	$40K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	4.0%	2,451	2,444	$22K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.2%	215	210	$18K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.9%	179	179	$16K
90461		2.7%	413	413	$15K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	2.5%	275	270	$14K
96127		2.3%	1,264	1,264	$13K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.8%	496	496	$10K

17 more codes

96110	Developmental screening, with scoring and documentation, per standardized instrument	1.7%	906	$10K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	211	$6K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	57	$5K
99177		<1%	213	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	100	$1K
83655		<1%	96	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	91	$1K
85018		<1%	405	$943.96
87634		<1%	14	$866.88
0071A		<1%	16	$734.08
92587		<1%	14	$703.22
0154A		<1%	12	$550.56
0072A		<1%	12	$550.56
81002		<1%	188	$494.85
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	12	$384.12
36416		<1%	38	$361.00
90473		<1%	14	$286.30

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.