Physician
Lock, Michelle
Lock, Michelle was paid $330K by Medicaid between Jan 2018 and Mar 2023, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoLOCK, MICHELLE
STONEHAM, MA 02180
STONEHAM, MA 02180
33aNPI1134183429assigned 04/13/2006
33bProvider typePediatrics Physician
28Total paid$330K
24GClaims8,829
24DCodes billed24
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#203 of 1,273
Median peer was paid$24K
This provider vs. median14×
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 | 2,001 | $68K | |
| 2019 | 1,760 | $63K | |
| 2020 | 1,653 | $59K | |
| 2021 | 1,702 | $68K | |
| 2022 | 1,361 | $57K | |
| 2023 | 352 | $15K |
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 | 34% | 1,956 | 1,801 | $113K |
| 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 | 20% | 750 | 703 | $67K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 1,346 | 1,013 | $44K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 7.7% | 494 | 480 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 177 | 177 | $15K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.9% | 1,436 | 1,427 | $13K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.6% | 369 | 355 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.3% | 715 | 713 | $7K |
| 90461 | 1.6% | 138 | 138 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 244 | 244 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 59 | 58 | $5K |
| 96127 | 1.2% | 365 | 363 | $4K |
12 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.1% | 43 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 299 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 190 | $2K |
| 92587 | <1% | 38 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 17 | $1K |
| 0071A | <1% | 27 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 35 | $1K |
| 99051 | <1% | 48 | $794.88 | |
| 0072A | <1% | 17 | $779.96 | |
| 83655 | <1% | 14 | $174.86 | |
| 36416 | <1% | 13 | $130.00 | |
| 85018 | <1% | 39 | $91.24 |
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.