Physician
Pleasant Hill Pediatrics
Pleasant Hill Pediatrics was paid $590K by Medicaid between Jan 2018 and Oct 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoPLEASANT HILL PEDIATRICS
WEST BRIDGEWATER, MA 02379
WEST BRIDGEWATER, MA 02379
33aNPI1932258654assigned 01/10/2007
33bProvider typePediatrics Physician
28Total paid$590K
24GClaims22,685
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#136 of 1,273
Median peer was paid$24K
This provider vs. median25×
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 | 3,386 | $100K | |
| 2019 | 3,811 | $117K | |
| 2020 | 3,398 | $82K | |
| 2021 | 3,714 | $107K | |
| 2022 | 3,872 | $127K | |
| 2023 | 2,796 | $45K | |
| 2024incomplete | 1,708 | $12K |
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 | 48% | 5,537 | 5,160 | $285K |
| 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 | 12% | 990 | 940 | $69K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 2,903 | 2,897 | $63K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.6% | 4,401 | 4,395 | $45K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 5.9% | 3,661 | 3,633 | $35K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 257 | 257 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 196 | 196 | $13K |
| 90461 | 1.7% | 723 | 723 | $10K | |
| 87428 | 1.4% | 132 | 130 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 541 | 528 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 140 | 140 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 54 | 54 | $5K |
11 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 273 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 90 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 135 | $4K |
| 81003 | <1% | 1,293 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 154 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $2K |
| 99051 | <1% | 49 | $794.88 | |
| 99177 | <1% | 227 | $738.08 | |
| 90686 | <1% | 557 | $135.96 | |
| 99000 | 0% | 343 | $0.00 | |
| 90674 | 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 officialMORALES, EDA (OFFICE MANAGER)