Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTHERN BERKSHIRE PEDIATRICS, LLP

NPI: 1750596201 · NORTH ADAMS, MA 01247 · Pediatrics Physician · NPI assigned 05/10/2007

$1.28M
Total Medicaid Paid
56,725
Total Claims
52,580
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKING, SUSAN (PRACTICE MANAGER)
NPI Enumeration Date05/10/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,013 $157K
2019 1,683 $59K
2020 1,714 $44K
2021 1,961 $45K
2022 1,230 $46K
2023 21,516 $405K
2024 24,608 $522K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,297 14,525 $286K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,274 5,191 $247K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,011 6,748 $166K
90834 Psychotherapy, 45 minutes with patient 779 698 $146K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,508 1,489 $117K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,420 2,401 $69K
96127 4,486 4,170 $55K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 5,690 5,655 $45K
90832 Psychotherapy, 30 minutes with patient 264 256 $38K
90847 Family psychotherapy with the patient present, 50 minutes 109 102 $24K
90460 Immunization administration through 18 years of age via any route, first or only component 5,268 3,029 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,449 1,418 $15K
99215 Prolong outpt/office vis 478 466 $7K
87634 116 116 $7K
92558 922 915 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 675 673 $6K
90480 134 134 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 369 369 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 326 326 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 200 149 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 132 121 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 57 54 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 284 284 $976.78
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 57 56 $761.65
99051 294 291 $747.47
99173 296 296 $568.86
94760 151 137 $270.02
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $240.17
90686 507 506 $219.58
90461 22 18 $151.73
90656 404 401 $92.77
85018 44 41 $83.50
90473 36 36 $75.58
90658 144 143 $43.37
90688 33 33 $17.84
99072 1,384 1,241 $0.00
90670 12 12 $0.00
90698 12 12 $0.00
99070 12 12 $0.00
99417 Prolong home eval add 15m 39 26 $0.00
90660 18 18 $0.00