Physician
Town Center Pediatrics
Town Center Pediatrics was paid $1.70M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoTOWN CENTER PEDIATRICS
SOUTHBOROUGH, MA 01772
SOUTHBOROUGH, MA 01772
33aNPI1992800957assigned 09/14/2006
33bProvider typePediatrics Physician
28Total paid$1.70M
24GClaims54,963
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#33 of 1,273
Median peer was paid$24K
This provider vs. median71×
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 | 6,924 | $259K | |
| 2019 | 11,050 | $422K | |
| 2020 | 8,641 | $327K | |
| 2021 | 6,242 | $243K | |
| 2022 | 7,550 | $293K | |
| 2023 | 7,567 | $120K | |
| 2024incomplete | 6,989 | $34K |
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 | 28% | 9,280 | 8,409 | $484K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 2,473 | 2,471 | $179K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.6% | 5,346 | 5,310 | $164K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.3% | 2,047 | 2,047 | $158K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 1,659 | 1,657 | $120K |
| 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 | 6.9% | 1,337 | 1,278 | $116K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.2% | 6,662 | 6,657 | $71K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.1% | 7,825 | 7,802 | $70K |
| 92588 | 3.7% | 2,311 | 2,310 | $63K | |
| 99173 | 3.6% | 3,074 | 3,073 | $61K | |
| 90461 | 3.3% | 1,390 | 1,388 | $57K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 799 | 796 | $53K |
34 more codes
| 92587 | 1.2% | 1,200 | $21K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,439 | $20K |
| 96127 | <1% | 1,141 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 226 | $11K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 117 | $9K |
| 99383 | <1% | 67 | $8K | |
| 99174 | <1% | 302 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 453 | $6K |
| 99050 | <1% | 158 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 152 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 50 | $2K |
| 85018 | <1% | 542 | $1K | |
| 92551 | <1% | 123 | $1K | |
| 87807 | <1% | 55 | $644.91 | |
| 92552 | <1% | 14 | $348.89 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $342.63 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $252.70 |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $56.25 |
| 81002 | <1% | 14 | $29.37 | |
| 90633 | <1% | 249 | $0.51 | |
| 90686 | <1% | 2,380 | $0.09 | |
| 90670 | 0% | 486 | $0.00 | |
| 90734 | 0% | 249 | $0.00 | |
| 90681 | 0% | 53 | $0.00 | |
| 90648 | 0% | 319 | $0.00 | |
| 90661 | 0% | 92 | $0.00 | |
| 90715 | 0% | 14 | $0.00 | |
| 90671 | 0% | 26 | $0.00 | |
| 90651 | 0% | 229 | $0.00 | |
| 90677 | 0% | 109 | $0.00 | |
| 90723 | 0% | 133 | $0.00 | |
| 90697 | 0% | 138 | $0.00 | |
| 90619 | 0% | 135 | $0.00 | |
| 90656 | 0% | 52 | $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 officialSPAULDING, RUTH (OFFICE MANAGER)