Physician
Mill River Pediatrics
Mill River Pediatrics was paid $1.95M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoMILL RIVER PEDIATRICS
TAUNTON, MA 02780
TAUNTON, MA 02780
33aNPI1669669636assigned 10/03/2007
33bProvider typePediatrics Physician
28Total paid$1.95M
24GClaims75,152
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#24 of 1,273
Median peer was paid$24K
This provider vs. median81×
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 | 12,095 | $401K | |
| 2019 | 13,717 | $422K | |
| 2020 | 12,354 | $342K | |
| 2021 | 12,707 | $338K | |
| 2022 | 10,631 | $315K | |
| 2023 | 8,347 | $101K | |
| 2024incomplete | 5,301 | $28K |
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 | 29% | 10,082 | 9,554 | $559K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 2,837 | 2,785 | $200K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.8% | 2,618 | 2,587 | $192K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.9% | 2,270 | 2,237 | $172K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.8% | 6,667 | 6,456 | $151K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 1,796 | 1,604 | $145K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 5.5% | 11,305 | 10,744 | $106K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.9% | 9,308 | 9,168 | $95K |
| 99173 | 3.7% | 4,464 | 4,371 | $73K | |
| 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 | 3.5% | 775 | 758 | $68K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.6% | 913 | 887 | $31K |
| 90461 | 1.5% | 1,752 | 1,707 | $30K |
38 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 1,348 | $24K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 3,242 | $23K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,674 | $21K |
| 99401 | <1% | 1,538 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 604 | $10K |
| 0001A | <1% | 88 | $4K | |
| 96127 | <1% | 404 | $4K | |
| 0002A | <1% | 82 | $4K | |
| 83718 | <1% | 482 | $3K | |
| 87276 | <1% | 233 | $3K | |
| 87275 | <1% | 233 | $2K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 16 | $2K |
| 82465 | <1% | 492 | $2K | |
| 99050 | <1% | 90 | $1K | |
| ATP03 | <1% | 206 | $1K | |
| 99381 | <1% | 12 | $1K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 19 | $903.45 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 24 | $680.40 |
| 92551 | <1% | 44 | $342.72 | |
| 99188 | <1% | 12 | $252.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15 | $167.77 |
| 81000 | <1% | 15 | $38.16 | |
| 99000 | <1% | 534 | $15.40 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 272 | $0.00 |
| 90686 | 0% | 1,788 | $0.00 | |
| 36416 | 0% | 877 | $0.00 | |
| 90651 | 0% | 672 | $0.00 | |
| 90680 | 0% | 364 | $0.00 | |
| 90723 | 0% | 404 | $0.00 | |
| 90647 | 0% | 852 | $0.00 | |
| 90620 | 0% | 345 | $0.00 | |
| 90670 | 0% | 849 | $0.00 | |
| 90734 | 0% | 467 | $0.00 | |
| 80061 | Lipid panel | 0% | 208 | $0.00 |
| 90685 | 0% | 1,334 | $0.00 | |
| 90633 | 0% | 259 | $0.00 | |
| 91300 | 0% | 255 | $0.00 | |
| 90700 | 0% | 12 | $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 officialSINHA, JAYSHREE (OWNER/MANAGER)