Sandwich Pediatrics

Sandwich Pediatrics was paid $92K by Medicaid between Jan 2018 and Sep 2023, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.

33Billing provider infoSANDWICH PEDIATRICS
SANDWICH, MA 02563

33aNPI1497960215assigned 05/14/2007

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$92K

24GClaims1,446

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Massachusetts

Rank by total paid#32 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

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	421	$26K
2019	396	$28K
2020	242	$14K
2021	139	$9K
2022	157	$10K
2023	91	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	93%	1,009	929	$86K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.8%	256	254	$3K
90460	Immunization administration through 18 years of age via any route, first or only component	2.4%	124	124	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.3%	12	12	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	13	12	$245.40
81002		<1%	32	32	$85.93

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 officialKOENIG, MARIANNE (OWNER)