Fox, Cynthia

Fox, Cynthia was paid $90K by Medicaid between Mar 2018 and Mar 2023, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoFOX, CYNTHIA
FAIRHAVEN, MA 02719

33aNPI1205851540assigned 07/13/2006

33bProvider typePediatrics Physician

28Total paid$90K

24GClaims2,081

24DCodes billed9

24AFirst – last monthMar 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#416 of 1,273

Median peer was paid$24K

This provider vs. median3.8×

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	273	$12K
2019	377	$18K
2020	208	$9K
2021	468	$21K
2022	641	$25K
2023	114	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	42%	389	376	$38K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	36%	599	568	$33K
90460	Immunization administration through 18 years of age via any route, first or only component	8.9%	256	220	$8K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	6.2%	238	231	$6K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	2.7%	272	272	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.6%	69	69	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.2%	88	80	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	37	37	$470.21
94760		<1%	133	127	$263.34

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.