Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WAREHAM PEDIATRIC ASSOCIATES PC

NPI: 1659439891 · WAREHAM, MA 02571 · Pediatrics Physician · NPI assigned 12/04/2006

$898K
Total Medicaid Paid
37,335
Total Claims
34,910
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCONWAY, JOHN (PRESIDENT)
NPI Enumeration Date12/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,231 $156K
2019 979 $19K
2020 397 $8K
2021 405 $13K
2022 531 $14K
2023 12,962 $281K
2024 17,830 $407K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 3,692 3,645 $451K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,429 9,983 $151K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,796 3,742 $103K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,204 4,039 $47K
96127 3,556 3,470 $34K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 4,291 4,269 $30K
90832 Psychotherapy, 30 minutes with patient 106 97 $15K
90460 Immunization administration through 18 years of age via any route, first or only component 3,511 1,964 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,073 1,040 $11K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 460 459 $9K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 262 262 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 332 330 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 126 125 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 102 101 $5K
87070 249 247 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 127 127 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 130 128 $2K
99173 369 368 $1K
90461 66 66 $1K
90480 28 25 $1K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 38 38 $814.06
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 98 97 $424.12
90661 137 137 $133.00
85018 15 14 $56.09
81002 13 13 $31.32
90686 125 124 $19.03