Mill Brook Pediatrics

Mill Brook Pediatrics was paid $29K by Medicaid between Mar 2018 and Dec 2023, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider infoMILL BROOK PEDIATRICS
SUDBURY, MA 01776

33aNPI1609975069assigned 09/22/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$29K

24GClaims900

24DCodes billed11

24AFirst – last monthMar 2018 – Dec 2023

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Massachusetts

Rank by total paid#38 of 54

Median peer was paid$119K

This provider vs. median0.2×

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	161	$6K
2019	130	$5K
2020	84	$3K
2021	181	$5K
2022	181	$6K
2023	163	$3K

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	73%	426	391	$21K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	6.2%	35	34	$2K
99443		5.9%	65	48	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	5.7%	80	78	$2K
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	3.8%	13	13	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.1%	68	66	$595.66
86328		1.9%	12	12	$542.76
99173		<1%	12	12	$270.12
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	14	14	$40.90
90686		<1%	91	90	$19.04
99000		0%	84	80	$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 officialWIRTH, WILLIAM (DOCTOR)