Physician
Plymouth Pediatric Associates, LLC
Plymouth Pediatric Associates, LLC was paid $989K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 87637, Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV — 38% of everything it billed.
33Billing provider infoPLYMOUTH PEDIATRIC ASSOCIATES, LLC
PLYMOUTH, MA 02360
PLYMOUTH, MA 02360
33aNPI1851773584assigned 06/18/2015
33bProvider typePediatrics Physician
28Total paid$989K
24GClaims54,415
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#77 of 1,273
Median peer was paid$24K
This provider vs. median41×
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 | 4,080 | $154K | |
| 2019 | 367 | $11K | |
| 2020 | 324 | $5K | |
| 2021 | 705 | $1K | |
| 2022 | 738 | $6K | |
| 2023 | 20,001 | $333K | |
| 2024incomplete | 28,200 | $478K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 38% | 2,784 | 2,761 | $376K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 8,933 | 8,734 | $192K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 10% | 522 | 437 | $102K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 7.9% | 2,672 | 2,654 | $78K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 5.6% | 7,000 | 6,988 | $55K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.1% | 3,985 | 3,333 | $41K |
| 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 | 3.9% | 5,190 | 5,100 | $39K |
| 96127 | 3.5% | 3,441 | 3,422 | $35K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 9,218 | 4,747 | $24K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 860 | 852 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,188 | 1,188 | $8K |
| 99050 | <1% | 322 | 317 | $6K |
22 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,215 | $5K |
| 99173 | <1% | 301 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 276 | $3K |
| 83655 | <1% | 267 | $3K | |
| 99051 | <1% | 2,048 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 639 | $2K |
| 81002 | <1% | 411 | $1K | |
| 99188 | <1% | 34 | $886.00 | |
| 90480 | <1% | 25 | $779.79 | |
| 90461 | <1% | 44 | $520.00 | |
| 85018 | <1% | 239 | $495.33 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $223.34 |
| 90686 | <1% | 409 | $82.35 | |
| 99177 | <1% | 16 | $58.88 | |
| 90656 | <1% | 528 | $53.07 | |
| 99072 | <1% | 1,351 | $5.00 | |
| 90677 | <1% | 281 | $0.01 | |
| 90633 | 0% | 16 | $0.00 | |
| 90697 | 0% | 64 | $0.00 | |
| 90680 | 0% | 86 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 90619 | 0% | 24 | $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 officialWALSH, JESSICA (MANAGING MEMBER)