Medicaid Provider Spending

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

PEDIATRICS AT NEWTON WELLESLEY, PC

NPI: 1780710640 · NEWTON, MA 02462 · Pediatrics Physician · NPI assigned 02/26/2007

$4K
Total Medicaid Paid
377
Total Claims
347
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRIDEOUT, AUDREY (PRACTICE MANAGER)
NPI Enumeration Date02/26/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35 $2K
2023 118 $1K
2024 224 $757.21

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 254 243 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14 14 $513.10
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 38 37 $243.63
90460 Immunization administration through 18 years of age via any route, first or only component 29 12 $163.60
90661 42 41 $98.91