Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BOULANGER, PAULA

NPI: 1154323251 · HAVERHILL, MA 01830 · Pediatrics Physician · NPI assigned 06/02/2005

$8K
Total Medicaid Paid
196
Total Claims
191
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 196 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85 80 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 52 52 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 41 41 $458.79
90472 Immunization administration, each additional vaccine (list separately) 18 18 $304.50