Physician
Pediatric Associates INC. of Brockton
Pediatric Associates INC. of Brockton was paid $2.93M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES INC. OF BROCKTON
BROCKTON, MA 02301
BROCKTON, MA 02301
33aNPI1649389552assigned 08/30/2006
33bProvider typePediatrics Physician
28Total paid$2.93M
24GClaims147,999
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#12 of 1,273
Median peer was paid$24K
This provider vs. median123×
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 | 37,936 | $1.21M | |
| 2019 | 36,616 | $1.08M | |
| 2020 | 43 | $735.79 | |
| 2021 | 1,045 | $12K | |
| 2022 | 1,433 | $8K | |
| 2023 | 31,290 | $284K | |
| 2024incomplete | 39,636 | $340K |
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 | 36% | 28,220 | 27,075 | $1.05M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.9% | 19,633 | 13,874 | $232K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 4,286 | 4,286 | $209K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 4,132 | 4,131 | $175K |
| 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 | 5.6% | 6,155 | 5,984 | $166K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.8% | 17,660 | 17,630 | $141K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.8% | 13,681 | 13,324 | $140K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.2% | 3,288 | 3,258 | $94K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.2% | 609 | 526 | $94K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 2,036 | 2,020 | $91K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 2,030 | 2,030 | $90K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.5% | 995 | 986 | $74K |
47 more codes
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutes | 2.2% | 77 | $63K |
| 96127 | 2.0% | 5,741 | $58K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.7% | 1,039 | $50K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 3,509 | $42K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 521 | $20K |
| 99051 | <1% | 2,818 | $20K | |
| 81003 | <1% | 6,486 | $15K | |
| 83655 | <1% | 1,157 | $13K | |
| 85018 | <1% | 5,895 | $13K | |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 183 | $11K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 44 | $10K |
| 92587 | <1% | 520 | $8K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 33 | $8K |
| 90480 | <1% | 192 | $7K | |
| 90461 | <1% | 2,241 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 555 | $6K |
| 99188 | <1% | 212 | $6K | |
| 99173 | <1% | 375 | $4K | |
| 99050 | <1% | 215 | $3K | |
| 92551 | <1% | 324 | $3K | |
| T1020 | Help at home with daily living, billed per day | <1% | 44 | $2K |
| 83718 | <1% | 188 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 12 | $1K |
| 82465 | <1% | 191 | $948.16 | |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 13 | $939.90 |
| 87634 | <1% | 13 | $804.96 | |
| 94760 | <1% | 253 | $629.77 | |
| T2022 | Case management, per month | <1% | 12 | $607.68 |
| 90656 | <1% | 1,046 | $605.38 | |
| 99000 | <1% | 4,151 | $596.44 | |
| 90785 | <1% | 17 | $552.50 | |
| 90686 | <1% | 1,661 | $460.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 63 | $401.34 |
| 90688 | <1% | 1,091 | $212.19 | |
| 90621 | <1% | 28 | $119.01 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 29 | $79.12 |
| 90685 | 0% | 375 | $0.00 | |
| 99072 | 0% | 2,006 | $0.00 | |
| 90670 | 0% | 514 | $0.00 | |
| 90633 | 0% | 77 | $0.00 | |
| 90734 | 0% | 26 | $0.00 | |
| 90651 | 0% | 95 | $0.00 | |
| 90698 | 0% | 734 | $0.00 | |
| 90677 | 0% | 396 | $0.00 | |
| 90660 | 0% | 16 | $0.00 | |
| 90744 | 0% | 38 | $0.00 | |
| 90619 | 0% | 48 | $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 officialASIAF, JOSEPH (PRESIDENT)