Physician
Kaselis, Edith
Kaselis, Edith was paid $516K by Medicaid between Jan 2018 and Mar 2023, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoKASELIS, EDITH
YARMOUTH PORT, MA 02675
YARMOUTH PORT, MA 02675
33aNPI1124081625assigned 04/07/2006
33bProvider typePediatrics Physician
28Total paid$516K
24GClaims14,011
24DCodes billed27
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#146 of 1,273
Median peer was paid$24K
This provider vs. median22×
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 | 3,756 | $148K | |
| 2019 | 4,851 | $165K | |
| 2020 | 1,628 | $65K | |
| 2021 | 1,830 | $62K | |
| 2022 | 1,544 | $58K | |
| 2023 | 402 | $17K |
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 | 44% | 3,858 | 3,591 | $227K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.8% | 1,838 | 1,295 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 428 | 428 | $35K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 399 | 399 | $33K |
| 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 | 5.7% | 346 | 333 | $29K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.9% | 397 | 388 | $20K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.6% | 2,048 | 2,044 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 197 | 197 | $17K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 196 | 192 | $16K |
| 90461 | 2.2% | 319 | 318 | $11K | |
| 96127 | 1.9% | 961 | 961 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 402 | 402 | $8K |
15 more codes
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.4% | 280 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 169 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 583 | $6K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 60 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 216 | $3K |
| 99177 | <1% | 181 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 169 | $2K |
| 0071A | <1% | 43 | $2K | |
| 0072A | <1% | 31 | $1K | |
| 83655 | <1% | 101 | $1K | |
| 85018 | <1% | 427 | $1K | |
| 81002 | <1% | 301 | $791.91 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 21 | $649.95 |
| 0001A | <1% | 12 | $550.56 | |
| 36416 | <1% | 28 | $266.00 |
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.