Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Amherst › NPI 1942259767
Physician

Amherst Pediatrics, LLP

Amherst Pediatrics, LLP was paid $131K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 47% of everything it billed.

33Billing provider infoAMHERST PEDIATRICS, LLP
AMHERST, MA 01002
33aNPI1942259767assigned 05/09/2006
33bProvider typePediatrics Physician
28Total paid$131K
24GClaims8,428
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#359 of 1,273
Median peer was paid$24K
This provider vs. median5.5×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018658$28K
202019$278.54
202215$58.41
20233,486$43K
2024incomplete4,250$59K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 47% 299 212 $61K
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% 2,783 2,657 $25K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 10% 1,478 1,469 $14K
96127 10% 1,186 1,078 $13K
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 8.4% 1,023 994 $11K
90460 Immunization administration through 18 years of age via any route, first or only component 3.4% 1,290 754 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 68 68 $753.74
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 45 45 $439.16
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 14 13 $372.98
90480 <1% 16 16 $369.25
92587 <1% 15 15 $278.74
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 13 13 $184.47
4 more codes
90686 <1% 80 $115.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 27 $90.89
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 27 $40.90
90656 <1% 64 $40.68

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 officialJONES, EMLEN (MANAGING PARTNER)