Physician
Pediatric Associates of Hampton & Portsmouth, P.C.
Pediatric Associates of Hampton & Portsmouth, P.C. was paid $494K by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH, P.C.
PORTSMOUTH, NH 03801
PORTSMOUTH, NH 03801
33aNPI1659497170assigned 03/22/2007
33bProvider typePediatrics Physician
28Total paid$494K
24GClaims23,231
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New Hampshire
Rank by total paid#9 of 26
Median peer was paid$66K
This provider vs. median7.5×
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 | 4,331 | $89K | |
| 2019 | 3,687 | $75K | |
| 2020 | 2,780 | $45K | |
| 2021 | 4,027 | $74K | |
| 2022 | 3,444 | $94K | |
| 2023 | 2,620 | $65K | |
| 2024incomplete | 2,342 | $52K |
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 | 52% | 6,946 | 5,725 | $255K |
| 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 | 14% | 1,242 | 1,060 | $70K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 536 | 510 | $32K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 536 | 476 | $29K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.5% | 5,537 | 3,705 | $27K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.3% | 558 | 494 | $26K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 212 | 194 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 215 | 166 | $10K |
| 92551 | 1.8% | 1,928 | 1,762 | $9K | |
| 90461 | 1.1% | 870 | 627 | $5K | |
| 99173 | 1.0% | 1,203 | 1,076 | $5K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 31 | 28 | $4K |
18 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 121 | $3K |
| 96127 | <1% | 430 | $2K | |
| 0072A | <1% | 24 | $760.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 148 | $725.17 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 106 | $660.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 91 | $595.40 |
| 0071A | <1% | 21 | $560.02 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 17 | $522.72 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $398.58 |
| 90686 | <1% | 1,478 | $396.93 | |
| 99000 | <1% | 542 | $19.14 | |
| 90656 | <1% | 78 | $14.54 | |
| 91307 | <1% | 47 | $0.01 | |
| 90657 | 0% | 31 | $0.00 | |
| 90651 | 0% | 35 | $0.00 | |
| 90658 | 0% | 133 | $0.00 | |
| 90670 | 0% | 85 | $0.00 | |
| 90707 | 0% | 18 | $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 officialLORD, WAYNE (PRACTICE MANAGER)