Physician
Waterville Pediatrics PA
Waterville Pediatrics PA was paid $3.41M by Medicaid between Jan 2018 and Mar 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoWATERVILLE PEDIATRICS PA
WATERVILLE, ME 04901
WATERVILLE, ME 04901
33aNPI1790871994assigned 10/05/2006
33bProvider typePediatrics Physician
28Total paid$3.41M
24GClaims76,827
24DCodes billed47
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Pediatrics Physician providers in Maine
Rank by total paid#3 of 22
Median peer was paid$76K
This provider vs. median45×
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 | 13,156 | $623K | |
| 2019 | 12,419 | $566K | |
| 2020 | 11,141 | $486K | |
| 2021 | 11,288 | $442K | |
| 2022 | 12,814 | $567K | |
| 2023 | 13,218 | $592K | |
| 2024incomplete | 2,791 | $138K |
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 | 40% | 23,706 | 22,362 | $1.35M |
| 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 | 15% | 6,393 | 6,098 | $521K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 4,975 | 4,853 | $400K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 3,283 | 3,247 | $251K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 2,745 | 2,718 | $240K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 6,437 | 6,291 | $222K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 6,267 | 6,171 | $106K |
| 90461 | 2.6% | 3,451 | 3,379 | $89K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.9% | 967 | 620 | $64K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 1,747 | 1,698 | $56K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 378 | 372 | $34K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,172 | 1,165 | $17K |
35 more codes
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,198 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 75 | $8K |
| 99177 | <1% | 605 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 816 | $6K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 97 | $6K |
| 96127 | <1% | 1,694 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 380 | $4K |
| 92551 | <1% | 491 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 215 | $2K |
| 0071A | <1% | 50 | $2K | |
| 83655 | <1% | 114 | $1K | |
| 0072A | <1% | 31 | $1K | |
| 99188 | <1% | 52 | $1K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 14 | $768.30 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 27 | $424.88 |
| 85018 | <1% | 147 | $318.78 | |
| 99173 | <1% | 167 | $189.48 | |
| 87807 | <1% | 13 | $128.81 | |
| 90474 | <1% | 12 | $120.00 | |
| 96161 | <1% | 751 | $36.87 | |
| 96160 | <1% | 236 | $1.77 | |
| 90686 | 0% | 3,345 | $0.00 | |
| 90688 | 0% | 847 | $0.00 | |
| 36416 | 0% | 724 | $0.00 | |
| 90647 | 0% | 484 | $0.00 | |
| 90723 | 0% | 552 | $0.00 | |
| 90677 | 0% | 114 | $0.00 | |
| 90697 | 0% | 137 | $0.00 | |
| 91307 | 0% | 107 | $0.00 | |
| 90670 | 0% | 1,370 | $0.00 | |
| 90685 | 0% | 166 | $0.00 | |
| 90681 | 0% | 88 | $0.00 | |
| 90671 | 0% | 89 | $0.00 | |
| 90633 | 0% | 84 | $0.00 | |
| 91300 | 0% | 14 | $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 officialSTONE, JEFFREY (TREASURER)
| Provider | Location | Paid |
|---|---|---|
| Noble Health Fulton INC | Fulton, MO | $190K |
| Noble Health Fulton INC | Fulton, MO | $35K |
| Noble Health Fulton INC | Fulton, MO | $320.23 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.