Physician
Swansea Pediatric Associates LLC
Swansea Pediatric Associates LLC was paid $191K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoSWANSEA PEDIATRIC ASSOCIATES LLC
SWANSEA, MA 02777
SWANSEA, MA 02777
33aNPI1669506804assigned 03/16/2007
33bProvider typePediatrics Physician
28Total paid$191K
24GClaims12,183
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#295 of 1,273
Median peer was paid$24K
This provider vs. median8.0×
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 | 894 | $38K | |
| 2019 | 45 | $1K | |
| 2020 | 28 | $1K | |
| 2021 | 46 | $0.00 | |
| 2022 | 111 | $5K | |
| 2023 | 5,038 | $57K | |
| 2024incomplete | 6,021 | $89K |
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 | 24% | 2,501 | 2,408 | $45K |
| 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 | 22% | 2,270 | 2,146 | $41K |
| 87428 | 20% | 652 | 630 | $38K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.8% | 121 | 103 | $15K |
| 96127 | 7.5% | 1,381 | 961 | $14K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 7.4% | 1,917 | 1,914 | $14K |
| 92551 | 3.5% | 725 | 719 | $7K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 1,356 | 753 | $5K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 314 | 256 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 256 | 253 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 108 | 108 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 29 | 27 | $953.91 |
8 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 50 | $851.62 |
| 99173 | <1% | 145 | $298.91 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | $176.85 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 50 | $119.95 |
| 94760 | <1% | 66 | $109.77 | |
| 99177 | <1% | 12 | $45.64 | |
| 90661 | 0% | 110 | $0.00 | |
| 99072 | 0% | 96 | $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 officialTARTELL, LINDA (OWNER)