Physician
Springfield Pediatrics LLC
Springfield Pediatrics LLC was paid $1.89M by Medicaid between Jan 2018 and Nov 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoSPRINGFIELD PEDIATRICS LLC
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
33aNPI1831388792assigned 10/17/2007
33bProvider typePediatrics Physician
28Total paid$1.89M
24GClaims56,329
24DCodes billed41
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#26 of 1,273
Median peer was paid$24K
This provider vs. median79×
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 | 5,946 | $181K | |
| 2019 | 7,068 | $233K | |
| 2020 | 7,897 | $248K | |
| 2021 | 9,076 | $280K | |
| 2022 | 8,949 | $309K | |
| 2023 | 9,446 | $337K | |
| 2024incomplete | 7,947 | $304K |
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 | 32% | 8,976 | 7,488 | $600K |
| 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 | 10% | 2,081 | 1,957 | $193K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.2% | 4,510 | 4,405 | $137K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 1,412 | 1,410 | $130K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 1,352 | 1,340 | $125K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 1,133 | 1,133 | $114K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 1,028 | 969 | $91K |
| 92552 | 4.6% | 3,394 | 3,377 | $88K | |
| 99173 | 4.1% | 3,564 | 3,506 | $78K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.0% | 7,295 | 7,025 | $75K |
| 99188 | 3.8% | 2,668 | 2,646 | $71K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.0% | 5,933 | 5,831 | $56K |
29 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 1,220 | $54K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.2% | 158 | $23K |
| 90461 | 1.2% | 1,680 | $22K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,223 | $16K |
| 81002 | <1% | 2,948 | $8K | |
| 99050 | <1% | 317 | $5K | |
| 99051 | <1% | 141 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 13 | $2K |
| 94760 | <1% | 632 | $1K | |
| 90670 | 0% | 512 | $0.00 | |
| 90713 | 0% | 659 | $0.00 | |
| 90671 | 0% | 37 | $0.00 | |
| 90734 | 0% | 68 | $0.00 | |
| 90700 | 0% | 1,016 | $0.00 | |
| 90649 | 0% | 111 | $0.00 | |
| 90681 | 0% | 117 | $0.00 | |
| 90633 | 0% | 106 | $0.00 | |
| 90687 | 0% | 52 | $0.00 | |
| 90707 | 0% | 27 | $0.00 | |
| 90658 | 0% | 160 | $0.00 | |
| 90688 | 0% | 590 | $0.00 | |
| 90748 | 0% | 449 | $0.00 | |
| 90744 | 0% | 49 | $0.00 | |
| 90686 | 0% | 505 | $0.00 | |
| 90657 | 0% | 32 | $0.00 | |
| 90733 | 0% | 40 | $0.00 | |
| 90677 | 0% | 68 | $0.00 | |
| 90716 | 0% | 40 | $0.00 | |
| 90698 | 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 officialEVALES, MARIA (PEDIATRICIAN)