Physician
Falmouth Pediatric Associates
Falmouth Pediatric Associates was paid $1.04M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoFALMOUTH PEDIATRIC ASSOCIATES
FALMOUTH, MA 02540
FALMOUTH, MA 02540
33aNPI1932326949assigned 04/19/2007
33bProvider typePediatric Hospice and Palliative Medicine Physician
28Total paid$1.04M
24GClaims37,283
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
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 | 10,755 | $400K | |
| 2019 | 9,698 | $365K | |
| 2020 | 41 | $948.73 | |
| 2021 | 321 | $0.00 | |
| 2022 | 122 | $0.00 | |
| 2023 | 7,344 | $129K | |
| 2024incomplete | 9,002 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 3,086 | 2,909 | $266K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 7,479 | 7,002 | $230K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.8% | 5,172 | 3,845 | $101K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 703 | 703 | $57K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.2% | 5,235 | 5,180 | $54K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 826 | 826 | $53K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.6% | 585 | 573 | $47K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.4% | 5,603 | 5,563 | $46K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.3% | 693 | 680 | $34K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 409 | 406 | $33K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.0% | 304 | 214 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 333 | 333 | $19K |
28 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.6% | 562 | $16K |
| 87634 | 1.3% | 232 | $14K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.0% | 236 | $11K |
| 90461 | <1% | 870 | $5K | |
| 87430 | <1% | 394 | $5K | |
| 94760 | <1% | 1,464 | $3K | |
| 96127 | <1% | 350 | $3K | |
| 90785 | <1% | 207 | $3K | |
| 99050 | <1% | 179 | $2K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 14 | $2K |
| 99188 | <1% | 55 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 44 | $529.90 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 13 | $281.52 |
| 85018 | <1% | 79 | $184.42 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $174.96 |
| 99177 | <1% | 26 | $88.46 | |
| 83655 | <1% | 39 | $62.45 | |
| 90633 | 0% | 63 | $0.00 | |
| 99072 | 0% | 458 | $0.00 | |
| 90670 | 0% | 150 | $0.00 | |
| 90648 | 0% | 126 | $0.00 | |
| 90661 | 0% | 178 | $0.00 | |
| 96160 | 0% | 66 | $0.00 | |
| 90686 | 0% | 857 | $0.00 | |
| 90723 | 0% | 68 | $0.00 | |
| 90680 | 0% | 56 | $0.00 | |
| 36416 | 0% | 45 | $0.00 | |
| 90677 | 0% | 12 | $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 officialLIND, PETER (MEDICAL PHYSICIAN)