Physician
Worcester Pediatrics PC
Worcester Pediatrics PC was paid $2.84M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoWORCESTER PEDIATRICS PC
WORCESTER, MA 01608
WORCESTER, MA 01608
33aNPI1740654599assigned 11/17/2015
33bProvider typePediatrics Physician
28Total paid$2.84M
24GClaims94,935
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#13 of 1,273
Median peer was paid$24K
This provider vs. median119×
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 | 9,284 | $283K | |
| 2019 | 10,695 | $339K | |
| 2020 | 11,123 | $307K | |
| 2021 | 12,161 | $349K | |
| 2022 | 14,052 | $441K | |
| 2023 | 17,511 | $520K | |
| 2024incomplete | 20,109 | $605K |
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 | 26% | 11,218 | 10,536 | $749K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 11,158 | 10,983 | $341K |
| 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 | 10% | 3,174 | 3,013 | $297K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 3,134 | 3,114 | $287K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.6% | 2,814 | 2,726 | $244K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 2,128 | 2,118 | $194K |
| 99188 | 5.2% | 5,503 | 5,461 | $148K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.7% | 14,400 | 14,159 | $135K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.1% | 11,645 | 10,997 | $118K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 774 | 768 | $76K |
| 99173 | 2.4% | 3,118 | 3,101 | $69K | |
| 90461 | 1.7% | 3,485 | 3,446 | $49K |
23 more codes
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.5% | 305 | $43K |
| 96127 | <1% | 3,549 | $28K | |
| 92551 | <1% | 2,853 | $27K | |
| 94760 | <1% | 6,323 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 230 | $10K |
| 99381 | <1% | 55 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 294 | $4K |
| 99384 | <1% | 28 | $3K | |
| 99383 | <1% | 27 | $3K | |
| 92583 | <1% | 25 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $198.38 |
| 99000 | <1% | 833 | $11.00 | |
| 90698 | 0% | 1,412 | $0.00 | |
| 90686 | 0% | 4,236 | $0.00 | |
| 90677 | 0% | 308 | $0.00 | |
| 90744 | 0% | 174 | $0.00 | |
| 90651 | 0% | 56 | $0.00 | |
| 90732 | 0% | 40 | $0.00 | |
| 90670 | 0% | 1,012 | $0.00 | |
| 90734 | 0% | 53 | $0.00 | |
| 90633 | 0% | 117 | $0.00 | |
| 90687 | 0% | 236 | $0.00 | |
| 90681 | 0% | 205 | $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 officialKIMBALL-WREN, PAULETTE (PRESIDENT)