David, Adam

David, Adam was paid $10K by Medicaid between Dec 2020 and Apr 2023, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoDAVID, ADAM
SPRINGFIELD, MA 01107

33aNPI1700146792assigned 05/23/2012

33bProvider typeNeurology with Special Qualifications in Child Neurology Physician

28Total paid$10K

24GClaims125

24DCodes billed4

24AFirst – last monthDec 2020 – Apr 2023

Compared with peers

Next to other Neurology with Special Qualifications in Child Neurology Physician providers in Massachusetts

Rank by total paid#14 of 20

Median peer was paid$13K

This provider vs. median0.7×

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
2020	12	$1K
2021	28	$2K
2022	40	$3K
2023	45	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	65%	88	87	$6K
95719		15%	12	12	$1K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	13%	12	12	$1K
95819		6.1%	13	13	$584.61

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.