Physician
Pediatrics West, PC
Pediatrics West, PC was paid $4.34M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoPEDIATRICS WEST, PC
WESTFORD, MA 01886
WESTFORD, MA 01886
33aNPI1598850281assigned 10/04/2006
33bProvider typeAllergy & Immunology Physician
28Total paid$4.34M
24GClaims135,633
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Allergy & Immunology Physician providers in Massachusetts
Rank by total paid#1 of 37
Median peer was paid$30K
This provider vs. median147×
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 | 17,698 | $631K | |
| 2019 | 21,189 | $753K | |
| 2020 | 18,811 | $582K | |
| 2021 | 22,918 | $765K | |
| 2022 | 25,442 | $939K | |
| 2023 | 16,092 | $354K | |
| 2024incomplete | 13,483 | $317K |
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 | 32% | 29,212 | 27,915 | $1.38M |
| 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 | 21% | 15,087 | 14,412 | $912K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.2% | 11,701 | 9,704 | $269K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.7% | 5,009 | 4,901 | $247K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.4% | 2,629 | 2,575 | $193K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 4.1% | 6,226 | 6,116 | $177K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 2,018 | 2,010 | $149K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 1,891 | 1,884 | $147K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.4% | 15,189 | 14,799 | $146K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.3% | 15,383 | 15,024 | $145K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.8% | 1,070 | 1,066 | $123K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 1,648 | 1,566 | $117K |
43 more codes
| 99051 | 1.3% | 3,887 | $54K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 595 | $50K |
| 90461 | <1% | 2,029 | $37K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,016 | $37K |
| 92551 | <1% | 3,687 | $35K | |
| 99173 | <1% | 1,677 | $32K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 694 | $27K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 333 | $25K |
| 87634 | <1% | 158 | $9K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 102 | $7K |
| 95117 | <1% | 622 | $4K | |
| 99188 | <1% | 151 | $4K | |
| 94760 | <1% | 3,581 | $4K | |
| 96127 | <1% | 326 | $3K | |
| 83655 | <1% | 302 | $3K | |
| ATP03 | <1% | 234 | $2K | |
| 0071A | <1% | 27 | $1K | |
| 90686 | <1% | 4,652 | $1K | |
| 0072A | <1% | 26 | $1K | |
| 99384 | <1% | 12 | $852.24 | |
| 85018 | <1% | 392 | $824.48 | |
| 87420 | <1% | 51 | $574.64 | |
| 85014 | <1% | 168 | $352.60 | |
| 99174 | <1% | 217 | $295.28 | |
| 99383 | <1% | 14 | $283.08 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $183.12 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | $94.48 |
| 81002 | <1% | 12 | $30.84 | |
| 90670 | 0% | 610 | $0.00 | |
| 90648 | 0% | 610 | $0.00 | |
| 90633 | 0% | 76 | $0.00 | |
| 91311 | 0% | 40 | $0.00 | |
| 90707 | 0% | 24 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| J7610 | Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg | 0% | 12 | $0.00 |
| 36416 | 0% | 391 | $0.00 | |
| 90723 | 0% | 313 | $0.00 | |
| 90656 | 0% | 17 | $0.00 | |
| 90680 | 0% | 214 | $0.00 | |
| 91307 | 0% | 52 | $0.00 | |
| 90651 | 0% | 42 | $0.00 | |
| 96161 | 0% | 123 | $0.00 | |
| 90716 | 0% | 41 | $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 officialDALY, JAMES (OWNER)
Parent organizationPEDIATRICS WEST, P.C.