Physician
Northampton Area Pediatrics, LLP
Northampton Area Pediatrics, LLP was paid $561K by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoNORTHAMPTON AREA PEDIATRICS, LLP
NORTHAMPTON, MA 01060
NORTHAMPTON, MA 01060
33aNPI1578586582assigned 07/25/2006
33bProvider typePediatric Hematology & Oncology Physician
28Total paid$561K
24GClaims50,152
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Hematology & Oncology Physician providers in Massachusetts
Rank by total paid#1 of 5
Median peer was paid$6K
This provider vs. median98×
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 | 5,079 | $173K | |
| 2019 | 1,144 | $28K | |
| 2020 | 593 | $23K | |
| 2021 | 227 | $3K | |
| 2022 | 118 | $3K | |
| 2023 | 19,909 | $147K | |
| 2024incomplete | 23,082 | $183K |
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 | 37% | 15,029 | 14,694 | $208K |
| 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 | 12% | 3,076 | 3,013 | $69K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 8.6% | 6,075 | 6,061 | $48K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 6.0% | 732 | 728 | $34K |
| 96127 | 5.6% | 2,959 | 2,674 | $31K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 5.2% | 1,052 | 1,045 | $29K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.8% | 2,655 | 2,164 | $27K |
| 92558 | 4.0% | 3,334 | 3,325 | $22K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.2% | 6,087 | 3,358 | $18K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 2.1% | 71 | 70 | $12K |
| 99177 | 2.0% | 3,142 | 3,128 | $11K | |
| 99051 | 1.7% | 1,964 | 1,937 | $9K |
24 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 631 | $7K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.0% | 75 | $6K |
| 90480 | <1% | 147 | $5K | |
| 92587 | <1% | 386 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 371 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 266 | $3K |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 48 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 14 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 74 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 349 | $2K |
| 99188 | <1% | 51 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 215 | $788.84 |
| 87634 | <1% | 13 | $681.12 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 15 | $499.35 |
| 90686 | <1% | 313 | $211.49 | |
| 90656 | <1% | 368 | $138.87 | |
| 96160 | <1% | 98 | $61.65 | |
| 81002 | <1% | 20 | $55.41 | |
| 99000 | <1% | 103 | $49.50 | |
| 90680 | 0% | 13 | $0.00 | |
| 90677 | 0% | 79 | $0.00 | |
| 90697 | 0% | 40 | $0.00 | |
| 91319 | 0% | 14 | $0.00 | |
| 99072 | 0% | 273 | $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 officialKENNY, PETER (PHYSICIAN/PARTNER)