Physician
Wilmington Pediatrics, INC.
Wilmington Pediatrics, INC. was paid $48K by Medicaid between Jan 2018 and Apr 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.
33Billing provider infoWILMINGTON PEDIATRICS, INC.
WILMINGTON, MA 01887
WILMINGTON, MA 01887
33aNPI1790841591assigned 12/28/2006
33bProvider typePediatrics Physician
28Total paid$48K
24GClaims1,197
24DCodes billed8
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#501 of 1,273
Median peer was paid$24K
This provider vs. median2.0×
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 | 145 | $5K | |
| 2019 | 151 | $5K | |
| 2020 | 220 | $7K | |
| 2021 | 113 | $5K | |
| 2022 | 153 | $8K | |
| 2023 | 328 | $14K | |
| 2024incomplete | 87 | $5K |
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 | 81% | 603 | 575 | $39K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.0% | 333 | 328 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 93 | 90 | $3K |
| 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 | 5.2% | 27 | 27 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | 12 | $245.40 |
| 94760 | <1% | 44 | 41 | $85.14 | |
| 90686 | 0% | 14 | 14 | $0.00 | |
| 90658 | 0% | 71 | 71 | $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 officialTANGUAY, NORMAND (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Alton School District | Alton, NH | $168K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.