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

Holyoke Pediatric Associates, LLP

Holyoke Pediatric Associates, LLP was paid $1.53M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 0241U, Neonatal screening for hereditary disorders, genomic sequence analysis panel — 47% of everything it billed.

33Billing provider infoHOLYOKE PEDIATRIC ASSOCIATES, LLP
HOLYOKE, MA 01040
33aNPI1568439818assigned 03/07/2006
33bProvider typePediatrics Physician
28Total paid$1.53M
24GClaims73,109
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#44 of 1,273
Median peer was paid$24K
This provider vs. median64×

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
20182,002$74K
201944$1K
202082$162.58
202139$372.06
202329,539$662K
2024incomplete41,403$793K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 47% 5,192 5,166 $714K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 16% 1,314 1,139 $251K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.2% 13,754 13,379 $110K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 6.6% 735 688 $101K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 5.0% 11,259 11,078 $76K
96127 4.8% 6,795 6,530 $73K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.6% 3,815 3,718 $39K
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 2.1% 5,275 5,125 $33K
90460 Immunization administration through 18 years of age via any route, first or only component 1.5% 13,618 7,018 $23K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.4% 736 723 $22K
90480 1.2% 469 409 $19K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.1% 1,388 1,335 $17K
23 more codes
92552 1.0% 596 $16K
90791 Psychiatric diagnostic evaluation <1% 43 $14K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,891 $7K
99188 <1% 204 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,108 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 570 $2K
99051 <1% 247 $790.78
99173 <1% 372 $752.45
90686 <1% 841 $531.64
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 522 $467.60
90461 <1% 24 $257.40
99177 <1% 64 $239.01
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12 $133.01
90656 <1% 110 $53.07
99072 <1% 55 $8.52
90677 0% 483 $0.00
90680 0% 163 $0.00
90697 0% 207 $0.00
90651 0% 54 $0.00
91319 0% 16 $0.00
90661 0% 1,114 $0.00
90633 0% 51 $0.00
91320 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 officialDUQUETTE, DEBRA (CREDENTIALING)