Physician
Redwood Pediatric and Adolescent Medicine, LLC
Redwood Pediatric and Adolescent Medicine, LLC was paid $2.27M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoREDWOOD PEDIATRIC AND ADOLESCENT MEDICINE, LLC
E LONGMEADOW, MA 01028
E LONGMEADOW, MA 01028
33aNPI1750302881assigned 07/22/2006
33bProvider typePediatrics Physician
28Total paid$2.27M
24GClaims64,849
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#18 of 1,273
Median peer was paid$24K
This provider vs. median95×
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 | 6,437 | $219K | |
| 2019 | 6,419 | $226K | |
| 2020 | 8,443 | $262K | |
| 2021 | 9,553 | $311K | |
| 2022 | 11,406 | $418K | |
| 2023 | 13,027 | $468K | |
| 2024incomplete | 9,564 | $366K |
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 | 41% | 14,715 | 14,001 | $941K |
| 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 | 13% | 3,363 | 3,258 | $298K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.6% | 7,448 | 7,417 | $218K |
| 87428 | 6.0% | 2,194 | 2,166 | $136K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.4% | 12,019 | 11,649 | $122K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 1,262 | 1,261 | $108K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.6% | 11,076 | 11,030 | $104K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 1,157 | 1,157 | $102K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 1,017 | 997 | $85K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 465 | 465 | $44K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 2,027 | 2,019 | $35K |
| 99173 | <1% | 1,111 | 1,109 | $23K |
25 more codes
| 90461 | <1% | 1,308 | $15K | |
| 96127 | <1% | 876 | $9K | |
| 99051 | <1% | 514 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 405 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 178 | $5K |
| 90480 | <1% | 98 | $4K | |
| 92552 | <1% | 132 | $3K | |
| 92583 | <1% | 54 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 63 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 85 | $939.01 |
| 85018 | <1% | 385 | $806.22 | |
| 0072A | <1% | 12 | $550.45 | |
| 90686 | <1% | 1,046 | $390.57 | |
| 90674 | <1% | 270 | $96.84 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 12 | $0.18 |
| 90661 | <1% | 279 | $0.02 | |
| 90677 | <1% | 26 | $0.01 | |
| 99072 | 0% | 972 | $0.00 | |
| 91321 | 0% | 58 | $0.00 | |
| 90648 | 0% | 13 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 90670 | 0% | 25 | $0.00 | |
| 36416 | 0% | 127 | $0.00 | |
| 90651 | 0% | 14 | $0.00 | |
| 91307 | 0% | 29 | $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 officialRUPPEL, KEITH (PARTNER)