Managed care
West Cambridge Pediatric & Adolescent Medicin, PC
West Cambridge Pediatric & Adolescent Medicin, PC was paid $7K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoWEST CAMBRIDGE PEDIATRIC & ADOLESCENT MEDICIN, PC
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
33aNPI1487794814assigned 02/07/2007
33bProvider typeHealth Maintenance Organization
28Total paid$7K
24GClaims576
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Health Maintenance Organization providers in Massachusetts
Rank by total paid#11 of 11
Median peer was paid$658K
This provider vs. median0.0×
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 | 49 | $3K | |
| 2021 | 15 | $0.00 | |
| 2023 | 240 | $2K | |
| 2024incomplete | 272 | $2K |
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 | 29% | 67 | 66 | $2K |
| 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 | 27% | 67 | 66 | $2K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 19% | 157 | 156 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 134 | 62 | $768.50 |
| 96127 | 8.8% | 65 | 64 | $647.01 | |
| 90480 | 6.2% | 14 | 14 | $458.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | 15 | $38.15 |
| 90686 | <1% | 24 | 24 | $22.35 | |
| 99072 | 0% | 15 | 12 | $0.00 | |
| 90661 | 0% | 18 | 18 | $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 officialCONNORS, PATRICIA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Youth Development Clinic of Newark | Newark, NJ | $2.30M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.