Physician
Mendes, Steven
Mendes, Steven was paid $1.39M by Medicaid between Jan 2018 and Mar 2023, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoMENDES, STEVEN
WAREHAM, MA 02571
WAREHAM, MA 02571
33aNPI1528006830assigned 06/02/2006
33bProvider typePediatrics Physician
28Total paid$1.39M
24GClaims34,346
24DCodes billed33
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#53 of 1,273
Median peer was paid$24K
This provider vs. median58×
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 | 5,167 | $187K | |
| 2019 | 7,530 | $276K | |
| 2020 | 5,418 | $209K | |
| 2021 | 8,312 | $360K | |
| 2022 | 7,321 | $327K | |
| 2023 | 598 | $33K |
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 | 28% | 6,782 | 6,348 | $390K |
| 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% | 2,776 | 2,600 | $271K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.9% | 3,331 | 2,502 | $110K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 1,079 | 1,079 | $90K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 5.6% | 734 | 720 | $78K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 884 | 884 | $74K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.6% | 550 | 550 | $49K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 3.3% | 1,980 | 1,925 | $46K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.3% | 591 | 572 | $46K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.2% | 4,301 | 4,245 | $45K |
| 90461 | 2.6% | 1,036 | 1,035 | $37K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 2.5% | 3,906 | 3,887 | $35K |
21 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.1% | 931 | $30K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.0% | 554 | $28K |
| 99173 | 1.6% | 1,137 | $23K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 806 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 445 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 441 | $5K |
| 87081 | <1% | 617 | $4K | |
| 99177 | <1% | 346 | $3K | |
| 83655 | <1% | 271 | $3K | |
| 96127 | <1% | 139 | $1K | |
| 0072A | <1% | 19 | $871.72 | |
| 85018 | <1% | 262 | $591.68 | |
| 87070 | <1% | 41 | $561.76 | |
| 92551 | <1% | 61 | $550.23 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $446.55 |
| 0054A | <1% | 12 | $390.00 | |
| 82465 | <1% | 78 | $315.78 | |
| 94760 | <1% | 111 | $260.48 | |
| 81025 | <1% | 28 | $178.08 | |
| 81002 | <1% | 29 | $74.53 | |
| 99000 | <1% | 54 | $53.00 |
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.