Physician
Wortzman, Jerry
Wortzman, Jerry was paid $8K by Medicaid between Mar 2018 and Dec 2019, across 5 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 31% of everything it billed.
33Billing provider infoWORTZMAN, JERRY
FRAMINGHAM, MA 01702
FRAMINGHAM, MA 01702
33aNPI1134187206assigned 05/01/2006
33bProvider typePediatrics Physician
28Total paid$8K
24GClaims454
24DCodes billed5
24AFirst – last monthMar 2018 – Dec 2019
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#876 of 1,273
Median peer was paid$24K
This provider vs. median0.3×
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 | 396 | $7K | |
| 2019 | 58 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 31% | 44 | 43 | $3K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 26% | 208 | 206 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 23% | 173 | 172 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 13 | 13 | $844.22 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 16 | 15 | $813.28 |
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.