Child Health Foundation of Boston, INC.

Child Health Foundation of Boston, INC. was paid $26.55M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 15% of everything it billed.

33Billing provider infoCHILD HEALTH FOUNDATION OF BOSTON, INC.
BOSTON, MA 02118

33aNPI1619969920assigned 08/22/2005

33bProvider typePediatric Emergency Medicine (Pediatrics) Physician

28Total paid$26.55M

24GClaims510,391

24DCodes billed92

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Emergency Medicine (Pediatrics) Physician providers in Massachusetts

Rank by total paid#1 of 38

Median peer was paid$13K

This provider vs. median2,123×

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	74,563	$3.68M
2019	70,608	$3.37M
2020	57,016	$2.86M
2021	61,400	$2.88M
2022	75,524	$3.74M
2023	90,149	$5.34M
2024incomplete	81,131	$4.67M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	15%	73,543	71,860	$4.04M
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	12%	40,765	40,082	$3.29M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	12%	36,409	36,192	$3.24M
S9485	Crisis intervention mental health services, per diem	11%	4,111	2,264	$2.81M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.4%	38,983	38,065	$1.44M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.7%	25,954	25,831	$1.23M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	4.6%	9,479	9,415	$1.23M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.6%	19,756	19,211	$968K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.8%	9,312	4,522	$733K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	2.5%	79,180	78,239	$675K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.4%	14,974	14,956	$645K
99239	Hospital discharge day management, more than 30 minutes	2.3%	7,808	7,751	$622K

80 more codes

96110	Developmental screening, with scoring and documentation, per standardized instrument	2.0%	51,213	$522K
99205	Prolong outpt/office vis	1.9%	4,118	$511K
99479	Subsequent intensive care, per day, very low birth weight infant	1.7%	4,775	$451K
99204	Doctor's office visit, new patient (more involved)	1.5%	4,390	$408K
99223	Prolong inpt eval add15 m	1.5%	2,672	$403K
T1040	Medicaid certified community behavioral health clinic services, per diem	1.3%	1,522	$356K
99222	Initial hospital care, per day, moderate complexity	1.2%	3,218	$316K
99232	Hospital visit by a doctor, follow-up day	1.0%	4,963	$268K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	5,980	$238K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	6,125	$197K
H2011	Crisis intervention service, per 15 minutes	<1%	3,484	$196K
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	<1%	533	$157K
99238	Hospital discharge day management, 30 minutes or less	<1%	2,911	$157K
99464		<1%	2,640	$144K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	17,232	$113K
99221		<1%	1,087	$81K
95720		<1%	504	$79K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	1,585	$75K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	667	$61K
99480	Subsequent intensive care, per day, low birth weight infant	<1%	653	$60K
99188		<1%	2,090	$54K
96127		<1%	5,270	$51K
99051		<1%	3,390	$50K
95782		<1%	483	$47K
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	<1%	947	$46K
99203	Doctor's office visit, new patient (routine)	<1%	779	$43K
95951		<1%	178	$43K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	2,166	$42K
90834	Psychotherapy session, about 45 minutes	<1%	515	$41K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	583	$39K
96112		<1%	341	$32K
T2023	Targeted case management; per month	<1%	154	$31K
90792	Psychiatric diagnostic evaluation with medical services	<1%	261	$25K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	859	$25K
99468		<1%	35	$23K
99462		<1%	524	$22K
99460		<1%	200	$19K
90791	Psychiatric diagnostic evaluation	<1%	175	$18K
95816		<1%	344	$15K
76825		<1%	222	$14K
93320		<1%	921	$13K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	212	$11K
93325		<1%	3,896	$9K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	173	$9K
99417	Prolong home eval add 15m	<1%	196	$8K
96113		<1%	183	$8K
93304		<1%	260	$7K
94060		<1%	220	$6K
76821		<1%	229	$6K
94010		<1%	978	$6K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	60	$5K
95819		<1%	116	$5K
76827		<1%	232	$5K
99443		<1%	172	$5K
76820		<1%	205	$4K
94375		<1%	347	$4K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	240	$4K
99220		<1%	26	$4K
90832	Psychotherapy session, about 30 minutes	<1%	88	$4K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	123	$3K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	29	$3K
90887		<1%	71	$3K
99349		<1%	32	$3K
99381		<1%	36	$2K
99236	Prolong inpt eval add15 m	<1%	12	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	102	$2K
99226		<1%	18	$1K
99217		<1%	25	$1K
93321		<1%	251	$1K
99404		<1%	17	$1K
96111		<1%	14	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	13	$688.68
90472	Immunization administration, each additional vaccine (list separately)	<1%	39	$610.53
96160		<1%	697	$553.71
92650		<1%	13	$304.20
93790		<1%	19	$251.75
99442		<1%	12	$247.36
90474		<1%	12	$100.32
90837	Psychotherapy session, about an hour	0%	21	$0.00
99354		0%	19	$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 officialPAINTSIL, ELIJAH (PRESIDENT)