Physician
Emerson Practice Associates, INC.
Emerson Practice Associates, INC. was paid $812K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoEMERSON PRACTICE ASSOCIATES, INC.
CONCORD, MA 01742
CONCORD, MA 01742
33aNPI1508020199assigned 07/14/2008
33bProvider typePediatrics Physician
28Total paid$812K
24GClaims21,481
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#96 of 1,273
Median peer was paid$24K
This provider vs. median34×
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 | 1,051 | $29K | |
| 2019 | 1,171 | $45K | |
| 2020 | 2,012 | $77K | |
| 2021 | 3,803 | $141K | |
| 2022 | 4,029 | $175K | |
| 2023 | 4,494 | $175K | |
| 2024incomplete | 4,921 | $171K |
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 | 34% | 6,286 | 6,104 | $274K |
| 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 | 29% | 4,623 | 4,365 | $237K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 1,919 | 1,889 | $130K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 6.6% | 2,367 | 2,300 | $54K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.5% | 1,493 | 430 | $36K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.8% | 469 | 457 | $14K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 218 | 206 | $13K |
| 99223 | Prolong inpt eval add15 m | 1.4% | 175 | 171 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 634 | 486 | $8K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,015 | 1,765 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 453 | 447 | $6K |
| 99205 | Prolong outpt/office vis | <1% | 63 | 63 | $5K |
13 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 189 | $5K |
| 90682 | <1% | 81 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 101 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 27 | $1K |
| 99397 | <1% | 13 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 199 | $1K |
| 99385 | <1% | 13 | $969.48 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 22 | $933.12 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 24 | $612.02 |
| 99443 | <1% | 30 | $401.57 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 43 | $282.97 |
| 99442 | <1% | 12 | $229.68 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $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 officialKOSOWICZ, SCOTT (SR. DIRECTOR FINANCE)