Physician
Neighborhood Pediatrics PC
Neighborhood Pediatrics PC was paid $1.09M by Medicaid between Jan 2018 and May 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoNEIGHBORHOOD PEDIATRICS PC
FITCHBURG, MA 01420
FITCHBURG, MA 01420
33aNPI1932157765assigned 05/04/2006
33bProvider typePediatrics Physician
28Total paid$1.09M
24GClaims24,895
24DCodes billed29
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#70 of 1,273
Median peer was paid$24K
This provider vs. median45×
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 | 3,712 | $153K | |
| 2019 | 4,196 | $175K | |
| 2020 | 3,584 | $142K | |
| 2021 | 3,843 | $162K | |
| 2022 | 3,813 | $178K | |
| 2023 | 4,044 | $196K | |
| 2024incomplete | 1,703 | $83K |
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 | 36% | 6,430 | 5,730 | $395K |
| 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 | 13% | 1,629 | 1,533 | $139K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,324 | 1,314 | $121K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 993 | 990 | $89K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.4% | 3,118 | 3,074 | $81K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 770 | 759 | $66K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.8% | 639 | 639 | $63K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.6% | 4,167 | 4,143 | $39K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.5% | 236 | 230 | $16K |
| 90461 | 1.3% | 984 | 982 | $14K | |
| 92583 | 1.0% | 273 | 273 | $11K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 210 | 201 | $10K |
17 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 842 | $9K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 252 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 560 | $7K |
| 99173 | <1% | 287 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 287 | $5K |
| 85018 | <1% | 1,242 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 125 | $2K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 24 | $1K |
| 0071A | <1% | 26 | $1K | |
| 92551 | <1% | 98 | $932.96 | |
| 92552 | <1% | 31 | $777.60 | |
| 0072A | <1% | 18 | $720.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $528.40 |
| 87807 | <1% | 15 | $162.15 | |
| 81002 | <1% | 12 | $36.84 | |
| 36416 | 0% | 209 | $0.00 | |
| 91307 | 0% | 82 | $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 officialKAROS, DARIA (OWNER)