Kailey, Herleen

Kailey, Herleen was paid $9K by Medicaid between Jan 2018 and Dec 2018, across 5 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 60% of everything it billed.

33Billing provider infoKAILEY, HERLEEN
MANTECA, CA 95336

33aNPI1073574026assigned 03/29/2006

33bProvider typePediatrics Physician

28Total paid$9K

24GClaims728

24DCodes billed5

24AFirst – last monthJan 2018 – Dec 2018

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#806 of 1,490

Median peer was paid$15K

This provider vs. median0.6×

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	728	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	60%	190	190	$6K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	39%	448	414	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.0%	13	13	$96.72
90688		0%	41	41	$0.00
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	0%	36	36	$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.