Charles A. Birbara, M.D.

Charles A. Birbara, M.D. was paid $20K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 20610, — 40% of everything it billed.

33Billing provider infoCHARLES A. BIRBARA, M.D.
WORCESTER, MA 01605

33aNPI1659422699assigned 01/16/2007

33bProvider typeRheumatology Physician

28Total paid$20K

24GClaims2,552

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Rheumatology Physician providers in Massachusetts

Rank by total paid#18 of 46

Median peer was paid$12K

This provider vs. median1.6×

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	397	$4K
2019	494	$3K
2020	344	$3K
2021	329	$2K
2022	416	$4K
2023	414	$3K
2024incomplete	158	$777.46

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
20610		40%	389	338	$8K
20550		38%	757	647	$8K
J1030	Injection, methylprednisolone acetate, 40 mg	17%	1,259	1,193	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.9%	40	38	$777.78
J1010	Injection, methylprednisolone acetate, 1 mg	<1%	95	92	$107.17
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	12	12	$51.20

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 officialBIRBARA, CHARLES (M.D.)