Physician
Pediatric Health Care Associates PC
Pediatric Health Care Associates PC was paid $2.70M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoPEDIATRIC HEALTH CARE ASSOCIATES PC
PEABODY, MA 01960
PEABODY, MA 01960
33aNPI1821153180assigned 12/27/2006
33bProvider typePediatrics Physician
28Total paid$2.70M
24GClaims210,414
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#15 of 1,273
Median peer was paid$24K
This provider vs. median113×
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 | 16,387 | $706K | |
| 2019 | 443 | $11K | |
| 2020 | 266 | $7K | |
| 2021 | 1,395 | $26K | |
| 2022 | 175 | $7K | |
| 2023 | 80,211 | $879K | |
| 2024incomplete | 111,537 | $1.06M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 17% | 22,255 | 21,583 | $458K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 15% | 8,143 | 8,057 | $403K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 11% | 3,720 | 3,704 | $306K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 29,050 | 28,496 | $282K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 7.9% | 7,165 | 7,139 | $214K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 6.8% | 25,567 | 25,479 | $185K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.1% | 12,991 | 11,109 | $137K |
| 96127 | 4.8% | 12,788 | 12,375 | $129K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.9% | 29,289 | 14,945 | $106K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.7% | 9,975 | 9,915 | $74K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 3,829 | 3,806 | $55K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 4,781 | 4,776 | $35K |
65 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 804 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 4,665 | $29K |
| 99188 | 1.0% | 1,010 | $28K | |
| 87634 | <1% | 415 | $25K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 619 | $19K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 607 | $19K |
| 90461 | <1% | 277 | $18K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 912 | $17K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 171 | $15K |
| 99050 | <1% | 7,626 | $14K | |
| 90480 | <1% | 387 | $14K | |
| 80061 | Lipid panel | <1% | 1,183 | $8K |
| 0012A | <1% | 264 | $8K | |
| 99460 | <1% | 67 | $7K | |
| 87081 | <1% | 658 | $7K | |
| 0011A | <1% | 270 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,330 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,731 | $6K |
| 81003 | <1% | 2,148 | $4K | |
| 99462 | <1% | 94 | $4K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 94 | $4K |
| 99177 | <1% | 1,008 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 64 | $4K |
| 83655 | <1% | 144 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 16 | $2K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 30 | $2K |
| 96380 | <1% | 96 | $2K | |
| 90691 | <1% | 21 | $2K | |
| 69210 | <1% | 37 | $1K | |
| 90686 | <1% | 1,237 | $950.45 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,659 | $809.75 |
| 99051 | <1% | 863 | $671.01 | |
| 0173A | <1% | 14 | $642.18 | |
| 94760 | <1% | 359 | $493.00 | |
| 83718 | <1% | 37 | $474.89 | |
| 92587 | <1% | 24 | $405.36 | |
| 90656 | <1% | 1,748 | $371.49 | |
| 99173 | <1% | 720 | $363.28 | |
| 94010 | <1% | 12 | $341.76 | |
| 90651 | <1% | 243 | $293.16 | |
| 82465 | <1% | 37 | $252.16 | |
| ATP03 | <1% | 35 | $232.90 | |
| 82948 | <1% | 37 | $160.20 | |
| 84703 | <1% | 26 | $159.12 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | $35.70 |
| 90661 | <1% | 449 | $32.97 | |
| 90633 | 0% | 363 | $0.00 | |
| 90707 | 0% | 25 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 28 | $0.00 |
| 90658 | 0% | 188 | $0.00 | |
| 99072 | 0% | 89 | $0.00 | |
| 90670 | 0% | 27 | $0.00 | |
| 91300 | 0% | 29 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90697 | 0% | 979 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 90619 | 0% | 153 | $0.00 | |
| 90677 | 0% | 1,513 | $0.00 | |
| 90680 | 0% | 891 | $0.00 | |
| 91301 | 0% | 585 | $0.00 | |
| 90688 | 0% | 329 | $0.00 | |
| 36416 | 0% | 243 | $0.00 | |
| 90698 | 0% | 36 | $0.00 | |
| 90381 | 0% | 43 | $0.00 | |
| 99402 | 0% | 13 | $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 officialKANAREK, STEPHEN (PRESIDENT)