Patriot Pediatrics

Patriot Pediatrics was paid $87K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoPATRIOT PEDIATRICS
BEDFORD, MA 01730

33aNPI1710194410assigned 05/16/2007

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$87K

24GClaims2,422

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Massachusetts

Rank by total paid#33 of 54

Median peer was paid$119K

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
2018	789	$32K
2019	460	$20K
2020	354	$12K
2021	563	$20K
2022	84	$2K
2023	118	$1K
2024incomplete	54	$292.99

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	86%	1,495	1,339	$76K
90460	Immunization administration through 18 years of age via any route, first or only component	7.4%	233	230	$6K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	2.7%	57	53	$2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	2.3%	213	207	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	30	30	$555.75
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	37	26	$311.86
90686		<1%	217	215	$184.34
94760		<1%	17	17	$33.60
99072		0%	70	65	$0.00
96127		0%	53	53	$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 officialHENNESSEY, FRANCINE (OWNER)