Physician
Merkrebs, Alice
Merkrebs, Alice was paid $117K by Medicaid between Mar 2018 and Aug 2021, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.
33Billing provider infoMERKREBS, ALICE
NEWBURYPORT, MA 01950
NEWBURYPORT, MA 01950
33aNPI1740397322assigned 08/23/2006
33bProvider typePediatrics Physician
28Total paid$117K
24GClaims4,987
24DCodes billed18
24AFirst – last monthMar 2018 – Aug 2021
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#375 of 1,273
Median peer was paid$24K
This provider vs. median4.9×
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 | 1,186 | $33K | |
| 2019 | 1,879 | $46K | |
| 2020 | 1,244 | $27K | |
| 2021 | 678 | $12K |
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 | 68% | 1,429 | 1,198 | $79K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 9.2% | 539 | 529 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.0% | 281 | 274 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.1% | 357 | 357 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 42 | 42 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 24 | 24 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 159 | 150 | $2K |
| 85018 | 1.5% | 766 | 766 | $2K | |
| 85014 | 1.4% | 763 | 763 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 15 | 15 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 101 | 101 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 51 | 51 | $1K |
6 more codes
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.