Clinic
Brockton Pediatrics
Brockton Pediatrics was paid $4.56M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoBROCKTON PEDIATRICS
BROCKTON, MA 02302
BROCKTON, MA 02302
33aNPI1629001904assigned 07/09/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$4.56M
24GClaims146,858
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Massachusetts
Rank by total paid#1 of 44
Median peer was paid$76K
This provider vs. median60×
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 | 24,480 | $798K | |
| 2019 | 23,264 | $778K | |
| 2020 | 18,367 | $642K | |
| 2021 | 21,037 | $842K | |
| 2022 | 23,554 | $984K | |
| 2023 | 21,054 | $392K | |
| 2024incomplete | 15,102 | $125K |
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 | 45% | 39,405 | 35,441 | $2.06M |
| 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 | 12% | 7,648 | 7,232 | $541K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.0% | 9,549 | 9,526 | $227K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.7% | 5,701 | 5,613 | $216K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 3,233 | 3,231 | $215K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 2,737 | 2,735 | $193K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.2% | 14,362 | 12,401 | $146K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.0% | 2,728 | 2,676 | $138K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 2.8% | 14,537 | 14,477 | $129K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 2,002 | 2,001 | $121K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 1,321 | 1,308 | $99K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.0% | 2,957 | 2,884 | $91K |
32 more codes
| 99050 | 1.4% | 4,763 | $66K | |
| 92552 | 1.2% | 2,083 | $55K | |
| 99188 | 1.1% | 1,921 | $49K | |
| 90461 | <1% | 1,755 | $38K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,190 | $33K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,569 | $30K |
| 96127 | <1% | 2,717 | $28K | |
| 87400 | <1% | 1,928 | $23K | |
| 87081 | <1% | 2,250 | $15K | |
| 85018 | <1% | 4,244 | $9K | |
| 81000 | <1% | 2,859 | $9K | |
| 94760 | <1% | 3,758 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 203 | $5K |
| 99177 | <1% | 2,315 | $4K | |
| 99173 | <1% | 162 | $3K | |
| 99441 | <1% | 188 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $2K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 162 | $1K |
| 87807 | <1% | 51 | $589.05 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $453.62 |
| 90620 | <1% | 39 | $288.40 | |
| 90686 | <1% | 3,090 | $183.24 | |
| 90734 | 0% | 49 | $0.00 | |
| 90670 | 0% | 648 | $0.00 | |
| 90648 | 0% | 507 | $0.00 | |
| 90633 | 0% | 121 | $0.00 | |
| 36416 | 0% | 575 | $0.00 | |
| 90697 | 0% | 41 | $0.00 | |
| 90651 | 0% | 103 | $0.00 | |
| 90680 | 0% | 151 | $0.00 | |
| 90619 | 0% | 12 | $0.00 | |
| 90723 | 0% | 193 | $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 officialFERNANDEZ, YARA (MD)
| Provider | Location | Paid |
|---|---|---|
| Abington Pediatrics, PC | Abington, MA | $1.40M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.