Physician
Sturbridge Professional Services, P.C.
Sturbridge Professional Services, P.C. was paid $2.34M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoSTURBRIDGE PROFESSIONAL SERVICES, P.C.
SOUTHBRIDGE, MA 01550
SOUTHBRIDGE, MA 01550
33aNPI1659418986assigned 01/30/2007
33bProvider typePediatrics Physician
28Total paid$2.34M
24GClaims75,883
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#16 of 1,273
Median peer was paid$24K
This provider vs. median98×
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 | 11,879 | $406K | |
| 2019 | 11,574 | $373K | |
| 2020 | 11,698 | $362K | |
| 2021 | 10,773 | $327K | |
| 2022 | 10,224 | $315K | |
| 2023 | 11,133 | $308K | |
| 2024incomplete | 8,602 | $254K |
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% | 13,056 | 11,121 | $850K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 1,732 | 1,725 | $156K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.9% | 1,427 | 1,410 | $138K |
| 99188 | 5.6% | 5,011 | 4,977 | $132K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.6% | 5,775 | 5,696 | $132K |
| 97802 | 5.6% | 4,736 | 4,701 | $131K | |
| 92552 | 4.9% | 4,485 | 4,453 | $116K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 1,207 | 1,195 | $109K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.2% | 3,348 | 3,347 | $98K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 942 | 882 | $81K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.9% | 6,681 | 6,530 | $68K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 2.7% | 6,645 | 6,517 | $62K |
30 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 2.5% | 651 | $58K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.5% | 900 | $58K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.9% | 884 | $45K |
| 92015 | Determination of refractive state | 1.3% | 2,458 | $29K |
| 90461 | <1% | 1,707 | $18K | |
| 92341 | <1% | 301 | $11K | |
| 85018 | <1% | 4,177 | $9K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 113 | $9K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 271 | $8K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 65 | $7K |
| ATP02 | <1% | 1,203 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 381 | $5K |
| 96127 | <1% | 273 | $2K | |
| 82465 | <1% | 1,788 | $2K | |
| 90480 | <1% | 35 | $1K | |
| 87634 | <1% | 17 | $1K | |
| 82947 | <1% | 1,580 | $1K | |
| 80061 | Lipid panel | <1% | 16 | $61.05 |
| 96160 | <1% | 26 | $26.39 | |
| 91321 | <1% | 14 | $0.03 | |
| 90686 | <1% | 2,351 | $0.02 | |
| 90651 | <1% | 106 | $0.01 | |
| 90670 | 0% | 245 | $0.00 | |
| 90715 | 0% | 66 | $0.00 | |
| 90734 | 0% | 66 | $0.00 | |
| 90672 | 0% | 206 | $0.00 | |
| 90685 | 0% | 94 | $0.00 | |
| 1036F | 0% | 417 | $0.00 | |
| 90698 | 0% | 118 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 309 | $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 officialPATHAK, ANU (DIRECTOR)