Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Oteri, Shannon

Oteri, Shannon was paid $222K by Medicaid between Mar 2018 and Mar 2023, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoOTERI, SHANNON
AUBURN, MA 01501
33aNPI1023452968assigned 04/22/2013
28Total paid$222K
24GClaims6,967
24DCodes billed21
24AFirst – last monthMar 2018 – Mar 2023
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Massachusetts

Rank by total paid#13 of 240
Median peer was paid$7K
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

$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
2018717$23K
20191,311$40K
20201,145$37K
20211,951$66K
20221,650$51K
2023193$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33% 1,269 1,230 $72K
90460 Immunization administration through 18 years of age via any route, first or only component 23% 1,270 1,089 $50K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7.6% 331 328 $17K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 6.1% 1,491 1,485 $13K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.1% 163 163 $13K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4.8% 363 358 $11K
90461 4.5% 275 275 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4.3% 910 843 $9K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.4% 97 96 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.7% 184 184 $4K
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 1.5% 37 36 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.5% 42 42 $3K
9 more codes
96127 1.1% 227 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 59 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 14 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 77 $897.56
99051 <1% 45 $745.20
87081 <1% 44 $300.96
99177 <1% 41 $215.88
85014 <1% 14 $30.24
85018 <1% 14 $30.24

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.