Clinic
Newton Pediatrics LLC
Newton Pediatrics LLC was paid $211K by Medicaid between Aug 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoNEWTON PEDIATRICS LLC
NEWTON, MA 02459
NEWTON, MA 02459
33aNPI1598268468assigned 03/16/2018
33bProvider typePrimary Care Clinic/Center
28Total paid$211K
24GClaims21,927
24DCodes billed32
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Massachusetts
Rank by total paid#11 of 44
Median peer was paid$76K
This provider vs. median2.8×
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 | 47 | $4K | |
| 2020 | 31 | $692.84 | |
| 2021 | 115 | $827.82 | |
| 2022 | 289 | $1K | |
| 2023 | 9,138 | $126K | |
| 2024incomplete | 12,307 | $78K |
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 | 24% | 5,477 | 4,960 | $50K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 19% | 3,814 | 3,141 | $39K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 12% | 3,224 | 3,213 | $26K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 10% | 769 | 755 | $22K |
| 92587 | 5.5% | 709 | 703 | $12K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.9% | 32 | 27 | $10K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.0% | 42 | 36 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.5% | 155 | 153 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.9% | 3,260 | 1,633 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 225 | 216 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 397 | 397 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 343 | 343 | $4K |
20 more codes
| 99460 | 1.4% | 30 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.2% | 650 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.2% | 31 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 151 | $2K |
| 99177 | <1% | 449 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $952.51 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 654 | $827.95 |
| 96127 | <1% | 62 | $636.74 | |
| 83655 | <1% | 43 | $459.24 | |
| 90661 | <1% | 396 | $234.06 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 45 | $185.00 |
| 85018 | <1% | 86 | $175.56 | |
| 90686 | <1% | 212 | $151.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 168 | $78.68 |
| 90677 | 0% | 25 | $0.00 | |
| 90656 | 0% | 69 | $0.00 | |
| 90697 | 0% | 12 | $0.00 | |
| 90680 | 0% | 12 | $0.00 | |
| 90651 | 0% | 31 | $0.00 | |
| 99072 | 0% | 337 | $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 officialBUKUR-DOCZY, KRISZTINA (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Newton Pediatrics LLC | Chestnut Hill, MA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.