Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatric Associates of Hampden County, INC.

Pediatric Associates of Hampden County, INC. was paid $412K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoPEDIATRIC ASSOCIATES OF HAMPDEN COUNTY, INC.
WESTFIELD, MA 01085
33aNPI1649336850assigned 12/29/2006
33bProvider typePediatrics Physician
28Total paid$412K
24GClaims45,280
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#174 of 1,273
Median peer was paid$24K
This provider vs. median17×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20184,263$152K
2019218$8K
202058$2K
2021180$0.00
2022648$1K
202317,027$112K
2024incomplete22,886$136K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44% 13,426 12,935 $181K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 13% 7,799 7,746 $53K
96110 Developmental screening, with scoring and documentation, per standardized instrument 9.6% 3,890 3,829 $40K
96127 9.3% 3,840 3,773 $38K
90460 Immunization administration through 18 years of age via any route, first or only component 5.4% 3,972 3,830 $22K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 4.9% 120 116 $20K
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 4.8% 2,414 2,338 $20K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.4% 779 770 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.1% 848 847 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 538 530 $4K
85018 <1% 1,900 1,888 $4K
92587 <1% 208 196 $3K
25 more codes
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 473 $3K
90480 <1% 81 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,033 $3K
99051 <1% 1,389 $2K
99177 <1% 129 $462.41
99188 <1% 14 $360.10
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 12 $278.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 222 $222.20
96380 <1% 13 $210.72
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 14 $107.10
90686 <1% 463 $99.03
90656 <1% 61 $35.38
99173 <1% 37 $22.00
99215 Doctor's office visit, returning patient (complex) <1% 13 $12.86
99072 0% 791 $0.00
90661 0% 452 $0.00
90461 0% 12 $0.00
90734 0% 12 $0.00
91321 0% 12 $0.00
99000 0% 110 $0.00
90697 0% 31 $0.00
90677 0% 100 $0.00
99050 0% 28 $0.00
90688 0% 15 $0.00
90680 0% 29 $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 officialPESKIN, ROBERT (PHYSICIAN)