Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatric Associates of New Bedford, INC

Pediatric Associates of New Bedford, INC was paid $813K by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.

33Billing provider infoPEDIATRIC ASSOCIATES OF NEW BEDFORD, INC
NEW BEDFORD, MA 02740
33aNPI1558441253assigned 10/17/2006
33bProvider typePediatrics Physician
28Total paid$813K
24GClaims74,803
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#95 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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20187,492$280K
20191,109$34K
2020794$25K
20211,009$25K
2022426$19K
202328,730$221K
2024incomplete35,243$210K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 13,504 12,479 $183K
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 8.9% 4,135 3,995 $73K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.8% 2,430 2,235 $72K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 6.8% 8,054 8,036 $55K
96127 6.7% 5,156 4,792 $54K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5.7% 4,438 3,896 $47K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4.5% 2,492 2,429 $37K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3.5% 3,887 3,850 $28K
92588 3.4% 1,020 928 $28K
90460 Immunization administration through 18 years of age via any route, first or only component 3.4% 8,557 5,196 $27K
99188 2.6% 785 785 $21K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2.6% 1,401 796 $21K
58 more codes
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2.3% 587 $19K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2.3% 583 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.9% 1,904 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.8% 1,554 $14K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.7% 1,891 $14K
83655 1.7% 1,286 $14K
99215 Doctor's office visit, returning patient (complex) 1.1% 79 $9K
99381 <1% 81 $6K
82465 <1% 1,164 $6K
99460 <1% 58 $6K
95930 <1% 67 $6K
87081 <1% 932 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 288 $5K
87070 <1% 286 $4K
99050 <1% 290 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 543 $3K
86003 <1% 15 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 38 $2K
99173 <1% 1,156 $2K
90461 <1% 95 $1K
81002 <1% 439 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 32 $1K
92555 <1% 62 $1K
87807 <1% 95 $1K
90621 <1% 57 $969.70
81025 <1% 104 $779.42
90651 <1% 275 $720.00
87086 Culture, bacterial; quantitative colony count, urine <1% 81 $713.11
82947 <1% 156 $672.03
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 21 $429.45
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 12 $406.56
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 183 $343.86
90658 <1% 18 $293.76
90480 <1% 16 $275.22
94010 <1% 12 $250.80
36415 Collection of venous blood by venipuncture <1% 36 $243.74
90686 <1% 608 $180.00
87210 <1% 15 $66.00
96161 <1% 75 $43.25
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 $18.35
96160 <1% 26 $2.03
99072 <1% 505 $0.29
90710 0% 233 $0.00
90633 0% 333 $0.00
90700 0% 92 $0.00
90661 0% 110 $0.00
90648 0% 38 $0.00
90670 0% 48 $0.00
90715 0% 56 $0.00
90656 0% 458 $0.00
90619 0% 485 $0.00
90677 0% 569 $0.00
90698 0% 53 $0.00
90680 0% 352 $0.00
90697 0% 343 $0.00
90674 0% 12 $0.00
90696 0% 13 $0.00
90744 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 officialGEORGESCU, TEODOR (PRESIDENT)