Physician
Norton, David
Norton, David was paid $862K by Medicaid between Jan 2018 and Mar 2023, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoNORTON, DAVID
HOLYOKE, MA 01040
HOLYOKE, MA 01040
33aNPI1972511962assigned 08/04/2006
33bProvider typePediatrics Physician
28Total paid$862K
24GClaims22,751
24DCodes billed31
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#89 of 1,273
Median peer was paid$24K
This provider vs. median36×
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 | 4,322 | $147K | |
| 2019 | 5,259 | $189K | |
| 2020 | 4,147 | $156K | |
| 2021 | 4,352 | $162K | |
| 2022 | 3,955 | $177K | |
| 2023 | 716 | $32K |
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 | 24% | 3,649 | 3,562 | $210K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 3,760 | 2,908 | $124K |
| 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 | 11% | 967 | 951 | $91K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 810 | 810 | $68K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.5% | 764 | 764 | $64K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.1% | 672 | 672 | $61K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 4.6% | 292 | 289 | $40K |
| 99173 | 4.6% | 1,770 | 1,769 | $39K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.8% | 3,579 | 3,570 | $32K |
| 90461 | 3.7% | 907 | 906 | $32K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 327 | 324 | $26K |
| 96127 | 2.5% | 1,903 | 1,892 | $22K |
19 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 1,757 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 469 | $10K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 190 | $4K |
| 99051 | <1% | 238 | $4K | |
| 0071A | <1% | 73 | $3K | |
| 99177 | <1% | 202 | $2K | |
| 0124A | <1% | 41 | $2K | |
| 0072A | <1% | 35 | $2K | |
| 99188 | <1% | 50 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 103 | $1K |
| 99442 | <1% | 61 | $1K | |
| 0054A | <1% | 13 | $596.44 | |
| 0154A | <1% | 12 | $550.56 | |
| 0081A | <1% | 12 | $539.68 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 13 | $400.18 |
| 92552 | <1% | 15 | $244.65 | |
| 92587 | <1% | 13 | $225.03 | |
| 94760 | <1% | 27 | $68.31 | |
| 90686 | <1% | 27 | $19.98 |
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.