Pert, James

Pert, James was paid $80K by Medicaid between Mar 2018 and Feb 2019, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoPERT, JAMES
MEDFORD, MA 02155

33aNPI1710967708assigned 01/18/2006

33bProvider typePediatrics Physician

28Total paid$80K

24GClaims781

24DCodes billed7

24AFirst – last monthMar 2018 – Feb 2019

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#429 of 1,273

Median peer was paid$24K

This provider vs. median3.3×

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	612	$71K
2019	169	$9K

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	46%	295	289	$37K
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	39%	180	172	$31K
90460	Immunization administration through 18 years of age via any route, first or only component	9.5%	175	105	$8K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.0%	12	12	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.0%	78	78	$2K
99051		<1%	14	13	$420.00
87081		<1%	27	27	$330.39

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.