Physician
Merrimack Valley Pediatric Associates
Merrimack Valley Pediatric Associates was paid $1.54M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoMERRIMACK VALLEY PEDIATRIC ASSOCIATES
BILLERICA, MA 01862
BILLERICA, MA 01862
33aNPI1982693891assigned 10/14/2005
33bProvider typePediatrics Physician
28Total paid$1.54M
24GClaims36,343
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#43 of 1,273
Median peer was paid$24K
This provider vs. median64×
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 | 7,299 | $276K | |
| 2019 | 6,570 | $303K | |
| 2020 | 5,738 | $270K | |
| 2021 | 4,686 | $262K | |
| 2022 | 4,612 | $286K | |
| 2023 | 3,890 | $105K | |
| 2024incomplete | 3,548 | $36K |
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 | 42% | 12,290 | 11,291 | $649K |
| 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 | 16% | 3,016 | 2,848 | $240K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 8.7% | 1,873 | 1,870 | $134K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 1,242 | 1,240 | $91K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.2% | 4,210 | 4,170 | $80K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 900 | 898 | $78K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 899 | 899 | $72K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 491 | 451 | $44K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.6% | 751 | 534 | $40K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 2,872 | 2,788 | $38K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 1,773 | 1,166 | $17K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 156 | 153 | $15K |
20 more codes
| 80061 | Lipid panel | <1% | 721 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 934 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 478 | $6K |
| 87081 | <1% | 767 | $5K | |
| 99442 | <1% | 203 | $4K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 24 | $2K |
| 81002 | <1% | 534 | $1K | |
| 99443 | <1% | 33 | $1K | |
| 82948 | <1% | 299 | $850.39 | |
| 83655 | <1% | 54 | $731.58 | |
| ATP03 | <1% | 36 | $246.60 | |
| 90473 | <1% | 13 | $167.28 | |
| 90658 | 0% | 1,253 | $0.00 | |
| 90670 | 0% | 127 | $0.00 | |
| 90648 | 0% | 152 | $0.00 | |
| 90734 | 0% | 47 | $0.00 | |
| 90633 | 0% | 24 | $0.00 | |
| 90651 | 0% | 110 | $0.00 | |
| 90723 | 0% | 48 | $0.00 | |
| 90619 | 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 officialSTANLEY, LISA (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Sunrise Wellness Solution PLLC | Fort Mohave, AZ | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.