Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › South Yarmouth › NPI 1811105539
Physician

Bass River Pediatric Associates

Bass River Pediatric Associates was paid $4.47M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoBASS RIVER PEDIATRIC ASSOCIATES
SOUTH YARMOUTH, MA 02664
33aNPI1811105539assigned 05/18/2007
28Total paid$4.47M
24GClaims160,362
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201823,277$772K
201923,247$801K
202023,361$678K
202124,821$822K
202226,540$971K
202321,885$329K
2024incomplete17,231$100K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 34,112 31,441 $1.68M
90460 Immunization administration through 18 years of age via any route, first or only component 11% 23,441 20,418 $479K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.3% 5,253 5,250 $372K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.9% 5,002 4,996 $355K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7.3% 4,407 4,167 $324K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 5.4% 26,252 25,681 $240K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5.1% 21,900 21,872 $226K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.0% 3,103 3,102 $225K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4.0% 3,509 3,426 $179K
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 4.0% 2,812 2,714 $177K
90461 1.4% 5,627 5,621 $62K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.3% 4,560 4,458 $59K
39 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,763 $38K
99173 <1% 763 $17K
99051 <1% 404 $7K
0071A <1% 136 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 131 $6K
92583 <1% 120 $5K
0072A <1% 112 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 115 $3K
92553 <1% 55 $2K
83655 <1% 135 $2K
99050 <1% 136 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 13 $1K
87807 <1% 98 $1K
99188 <1% 41 $1K
99442 <1% 41 $840.73
90480 <1% 12 $550.44
99441 <1% 32 $344.64
82465 <1% 50 $203.17
85018 <1% 28 $68.32
94760 <1% 14 $32.89
90670 0% 1,913 $0.00
90633 0% 825 $0.00
90685 0% 369 $0.00
90648 0% 12 $0.00
90734 0% 137 $0.00
90710 0% 37 $0.00
90715 0% 12 $0.00
90680 0% 727 $0.00
36416 0% 607 $0.00
90686 0% 7,414 $0.00
90698 0% 1,732 $0.00
99000 0% 890 $0.00
90651 0% 334 $0.00
90656 0% 549 $0.00
90677 0% 102 $0.00
90744 0% 104 $0.00
90723 0% 18 $0.00
91307 0% 372 $0.00
90619 0% 31 $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 officialCOLMER, KENNETH (MD)