WAYLAND PEDIATRICS LLC
NPI: 1033374731
· WAYLAND, MA 01778
· Pediatrics Physician
· NPI assigned 07/22/2008
$837.62
Total Medicaid Paid
Provider Details
| Authorized Official | MADY, SALLIE (PHYSICIAN) |
| NPI Enumeration Date | 07/22/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
103 |
$711.10 |
| 2024 |
77 |
$126.52 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
105 |
$576.28 |
| 96127 |
|
12 |
12 |
$123.24 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
13 |
13 |
$117.65 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
47 |
24 |
$20.45 |