Whelen-Banks, Marjorie
Whelen-Banks, Marjorie was paid $230K by Medicaid between Jan 2018 and Dec 2019, across 5 billing codes. Its largest line is S9485, Crisis intervention mental health services, per diem — 79% of everything it billed.
33Billing provider infoWHELEN-BANKS, MARJORIE
WORCESTER, MA 01610
WORCESTER, MA 01610
33aNPI1013049089assigned 03/12/2007
33bProvider typeRegistered Nurse
28Total paid$230K
24GClaims1,035
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Registered Nurse providers in Massachusetts
Rank by total paid#9 of 98
Median peer was paid$8K
This provider vs. median30×
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 | 65 | $10K | |
| 2019 | 970 | $220K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9485 | Crisis intervention mental health services, per diem | 79% | 396 | 155 | $183K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 8.8% | 128 | 114 | $20K |
| 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 | 4.8% | 137 | 126 | $11K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.5% | 279 | 179 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 95 | 93 | $6K |
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.