Physician
Northend Medical Associates INC
Northend Medical Associates INC was paid $1.44M by Medicaid between Jan 2018 and Mar 2023, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoNORTHEND MEDICAL ASSOCIATES INC
SPRINGFIELD, MA 01108
SPRINGFIELD, MA 01108
33aNPI1528221629assigned 07/08/2008
33bProvider typePediatrics Physician
28Total paid$1.44M
24GClaims44,860
24DCodes billed35
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#48 of 1,273
Median peer was paid$24K
This provider vs. median60×
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 | 10,219 | $312K | |
| 2019 | 10,744 | $337K | |
| 2020 | 9,084 | $279K | |
| 2021 | 7,779 | $249K | |
| 2022 | 6,052 | $228K | |
| 2023 | 982 | $39K |
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 | 26% | 5,715 | 5,277 | $380K |
| 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 | 16% | 2,466 | 2,277 | $229K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.3% | 4,944 | 4,841 | $135K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 1,448 | 1,434 | $134K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 1,071 | 1,051 | $98K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 959 | 951 | $96K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 702 | 650 | $61K |
| 99188 | 4.0% | 2,188 | 2,163 | $57K | |
| 99173 | 3.8% | 2,544 | 2,517 | $54K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.3% | 4,685 | 4,574 | $48K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.1% | 4,755 | 4,643 | $45K |
| 90461 | 1.9% | 1,524 | 1,495 | $28K |
23 more codes
| 92551 | 1.6% | 2,398 | $24K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 545 | $19K |
| 83655 | 1.1% | 1,365 | $16K | |
| 85018 | <1% | 3,251 | $7K | |
| 92567 | <1% | 327 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 177 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 81002 | <1% | 535 | $1K | |
| 96127 | <1% | 93 | $968.50 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | $676.11 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $184.65 |
| 90670 | 0% | 221 | $0.00 | |
| 90658 | 0% | 2,283 | $0.00 | |
| 90700 | 0% | 52 | $0.00 | |
| 90707 | 0% | 28 | $0.00 | |
| 90649 | 0% | 42 | $0.00 | |
| 90633 | 0% | 49 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90620 | 0% | 39 | $0.00 | |
| 90657 | 0% | 201 | $0.00 | |
| 90680 | 0% | 79 | $0.00 | |
| 90716 | 0% | 28 | $0.00 | |
| 90698 | 0% | 79 | $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 officialODUTOLA, AKINNIYI (MEMBER)