Physician
Main Street Pediatrics
Main Street Pediatrics was paid $38K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoMAIN STREET PEDIATRICS
HOPKINTON, MA 01748
HOPKINTON, MA 01748
33aNPI1720112865assigned 03/14/2007
33bProvider typePediatrics Physician
28Total paid$38K
24GClaims2,889
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#557 of 1,273
Median peer was paid$24K
This provider vs. median1.6×
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 | 74 | $4K | |
| 2021 | 21 | $0.00 | |
| 2023 | 1,195 | $15K | |
| 2024incomplete | 1,599 | $19K |
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 | 35% | 1,442 | 1,389 | $13K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 18% | 147 | 144 | $7K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 18% | 227 | 222 | $7K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 11% | 52 | 52 | $4K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 9.6% | 474 | 471 | $4K |
| 96127 | 2.6% | 97 | 79 | $985.92 | |
| 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 | 1.8% | 40 | 39 | $699.36 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 318 | 160 | $661.92 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 46 | 36 | $472.42 |
| 90686 | 0% | 13 | 13 | $0.00 | |
| 99072 | 0% | 21 | 15 | $0.00 | |
| 90661 | 0% | 12 | 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 officialBASOW, ROBERT (PART OWNER)