Physician
Garden City Pediatric Assoc, LLC
Garden City Pediatric Assoc, LLC was paid $1.39M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoGARDEN CITY PEDIATRIC ASSOC, LLC
BEVERLY, MA 01915
BEVERLY, MA 01915
33aNPI1598868564assigned 09/06/2006
33bProvider typePediatrics Physician
28Total paid$1.39M
24GClaims60,718
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#54 of 1,273
Median peer was paid$24K
This provider vs. median58×
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 | 7,305 | $245K | |
| 2019 | 7,679 | $264K | |
| 2020 | 4,533 | $105K | |
| 2021 | 6,870 | $225K | |
| 2022 | 8,046 | $286K | |
| 2023 | 12,443 | $171K | |
| 2024incomplete | 13,842 | $90K |
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 | 47% | 15,798 | 15,077 | $648K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 12,052 | 11,939 | $216K |
| 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 | 8.5% | 3,493 | 3,416 | $118K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 2,168 | 2,136 | $99K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.9% | 7,228 | 7,179 | $68K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.7% | 6,482 | 5,856 | $66K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.8% | 776 | 764 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 898 | 897 | $28K |
| 96127 | 1.6% | 2,237 | 2,231 | $23K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.6% | 732 | 721 | $22K |
| 99173 | 1.5% | 1,876 | 1,862 | $21K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 168 | 168 | $14K |
25 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 425 | $13K |
| 83655 | <1% | 173 | $2K | |
| 85018 | <1% | 829 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 159 | $2K |
| 99188 | <1% | 64 | $2K | |
| 0071A | <1% | 36 | $2K | |
| 96380 | <1% | 25 | $917.40 | |
| 94760 | <1% | 238 | $469.17 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 32 | $366.11 |
| 87081 | <1% | 30 | $190.24 | |
| 90461 | <1% | 28 | $167.94 | |
| 90686 | <1% | 2,811 | $64.56 | |
| 90661 | 0% | 219 | $0.00 | |
| 99072 | 0% | 229 | $0.00 | |
| 90670 | 0% | 121 | $0.00 | |
| 90633 | 0% | 64 | $0.00 | |
| 90380 | 0% | 12 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 13 | $0.00 |
| 90698 | 0% | 430 | $0.00 | |
| 90677 | 0% | 433 | $0.00 | |
| 90680 | 0% | 204 | $0.00 | |
| 90656 | 0% | 60 | $0.00 | |
| 90744 | 0% | 69 | $0.00 | |
| 90381 | 0% | 15 | $0.00 | |
| 91307 | 0% | 91 | $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 officialKRITEMAN, JACOB (PHYSICIAN)