Physician
Belfast Pediatrics, LLC
Belfast Pediatrics, LLC was paid $1.62M by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoBELFAST PEDIATRICS, LLC
BELFAST, ME 04915
BELFAST, ME 04915
33aNPI1558436683assigned 11/22/2006
33bProvider typePediatrics Physician
28Total paid$1.62M
24GClaims31,216
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Maine
Rank by total paid#4 of 22
Median peer was paid$76K
This provider vs. median21×
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 | 5,686 | $302K | |
| 2019 | 5,808 | $280K | |
| 2020 | 4,451 | $202K | |
| 2021 | 3,996 | $201K | |
| 2022 | 3,955 | $211K | |
| 2023 | 3,975 | $227K | |
| 2024incomplete | 3,345 | $198K |
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 | 30% | 4,656 | 4,159 | $480K |
| 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% | 6,625 | 6,046 | $452K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 1,718 | 1,701 | $165K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 1,139 | 1,064 | $104K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.2% | 4,637 | 4,529 | $101K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 1,064 | 1,059 | $100K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.1% | 1,490 | 1,472 | $67K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.9% | 2,912 | 2,866 | $64K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 237 | 223 | $34K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 238 | 237 | $24K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 346 | 341 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 552 | 526 | $6K |
27 more codes
| D1206 | Topical application of fluoride varnish | <1% | 439 | $5K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 169 | $4K |
| 99188 | <1% | 166 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 312 | $3K |
| 90473 | <1% | 38 | $876.90 | |
| 96127 | <1% | 202 | $770.73 | |
| 94760 | <1% | 168 | $286.42 | |
| 90648 | <1% | 13 | $0.13 | |
| 90670 | 0% | 754 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 201 | $0.00 |
| 90685 | 0% | 144 | $0.00 | |
| 90633 | 0% | 146 | $0.00 | |
| 90734 | 0% | 143 | $0.00 | |
| 90707 | 0% | 98 | $0.00 | |
| 90671 | 0% | 12 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
| 90681 | 0% | 64 | $0.00 | |
| 90715 | 0% | 14 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90686 | 0% | 1,683 | $0.00 | |
| 90744 | 0% | 156 | $0.00 | |
| 90697 | 0% | 29 | $0.00 | |
| 90698 | 0% | 430 | $0.00 | |
| 90651 | 0% | 43 | $0.00 | |
| 90677 | 0% | 31 | $0.00 | |
| 90716 | 0% | 94 | $0.00 | |
| 90656 | 0% | 29 | $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 officialANDERSON, JOSEPH (DOCTOR AND PRACTICE OWNER)
| Provider | Location | Paid |
|---|---|---|
| George Delgado M.D., INC. | San Diego, CA | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.