Physician
Kalow, Bruce
Kalow, Bruce was paid $327K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoKALOW, BRUCE
SOMERVILLE, MA 02145
SOMERVILLE, MA 02145
33aNPI1578547923assigned 11/30/2005
33bProvider typePediatrics Physician
28Total paid$327K
24GClaims12,276
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#206 of 1,273
Median peer was paid$24K
This provider vs. median14×
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 | 1,616 | $61K | |
| 2019 | 2,176 | $74K | |
| 2020 | 1,573 | $57K | |
| 2021 | 2,092 | $57K | |
| 2022 | 2,163 | $57K | |
| 2023 | 1,269 | $13K | |
| 2024incomplete | 1,387 | $7K |
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 | 36% | 3,394 | 3,198 | $118K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 17% | 1,088 | 1,088 | $56K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 686 | 686 | $36K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 509 | 509 | $30K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 8.4% | 3,047 | 3,045 | $28K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.1% | 2,567 | 2,566 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.2% | 638 | 618 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 347 | 332 | $17K |
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.