Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTH SHORE PEDIATRICS, PC

NPI: 1912047788 · DANVERS, MA 01923 · Pediatrics Physician · NPI assigned 02/08/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, DAVID controls 20+ related entities in our dataset. Read more

$546K
Total Medicaid Paid
20,900
Total Claims
19,978
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, DAVID (PRACTICE MANAGER)
NPI Enumeration Date02/08/2007

Related Entities

Other providers sharing the same authorized official: SMITH, DAVID

ProviderCityStateTotal Paid
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC PHOENIX AZ $7.56M
VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC PINOLE CA $2.31M
PENINSULA PATHOLOGY ASSOCIATES INCORPORATED NEWPORT NEWS VA $2.29M
UNITED IMAGING CONSULTANTS, LLC LENEXA KS $1.86M
SAN MARCOS-HAYS COUNTY EMERGENCY MEDICAL SERVICES INCORPORATED SAN MARCOS TX $1.45M
HAYWOOD COUNTY BROWNSVILLE TN $1.27M
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC CASA GRANDE AZ $898K
BAY HEMATOLOGY ONCOLOGY PA EASTON MD $817K
PINNACLE MEDICAL CLINIC INC SUMMIT MS $809K
NEW MEXICO PHYSICAL THERAPISTS INC LOS LUNAS NM $520K
GREAT LAKES PEDIATRIC SURGEONS, INC. FORT WAYNE IN $458K
EL FUTURO, INC DURHAM NC $414K
NEW MEXICO PHYSICAL THERAPISTS INC ALBUQUERQUE NM $408K
DAVID J. SMITH MD PC GRAND LEDGE MI $401K
VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC FAIRFIELD CA $324K
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC TUCSON AZ $307K
GATEWAY FOOT AND ANKLE CENTER, PLC CLARKSVILLE TN $271K
ADVANCED CARDIOVASCULAR CONSULTANTS INC CHARDON OH $240K
NEW MEXICO PHYSICAL THERAPISTS INC ALBUQUERQUE NM $162K
EL FUTURO, INC DURHAM NC $160K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,528 $95K
2019 3,011 $103K
2020 2,619 $70K
2021 2,412 $73K
2022 2,861 $113K
2023 3,810 $58K
2024 3,659 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,276 5,765 $266K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,591 1,515 $109K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,574 4,463 $47K
90460 Immunization administration through 18 years of age via any route, first or only component 1,853 1,834 $41K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 4,408 4,293 $41K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 604 579 $19K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 96 91 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 120 114 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 57 56 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 38 38 $2K
99441 183 171 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 126 124 $1K
94760 522 485 $973.58
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 27 26 $293.52
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14 14 $78.16
90686 261 260 $0.00
90688 135 135 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 15 $0.00