Physician
Condon, Paula
Condon, Paula was paid $644K by Medicaid between Jan 2018 and Mar 2023, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoCONDON, PAULA
HOLYOKE, MA 01040
HOLYOKE, MA 01040
33aNPI1225007156assigned 03/14/2006
33bProvider typePediatrics Physician
28Total paid$644K
24GClaims17,728
24DCodes billed25
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#118 of 1,273
Median peer was paid$24K
This provider vs. median27×
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 | 4,069 | $135K | |
| 2019 | 4,600 | $160K | |
| 2020 | 3,007 | $106K | |
| 2021 | 3,136 | $110K | |
| 2022 | 2,495 | $110K | |
| 2023 | 421 | $24K |
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 | 22% | 2,418 | 2,376 | $139K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 2,899 | 2,044 | $94K |
| 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 | 10% | 734 | 713 | $67K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.4% | 719 | 719 | $61K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.5% | 655 | 655 | $55K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.7% | 402 | 402 | $37K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 5.1% | 241 | 240 | $33K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.4% | 3,174 | 3,172 | $29K |
| 99173 | 4.3% | 1,241 | 1,241 | $28K | |
| 90461 | 3.7% | 696 | 695 | $24K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 297 | 294 | $23K |
| 96127 | 2.6% | 1,541 | 1,535 | $17K |
13 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 1,580 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 361 | $8K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 137 | $3K |
| 99051 | <1% | 185 | $3K | |
| 0071A | <1% | 54 | $2K | |
| 99188 | <1% | 71 | $2K | |
| 92552 | <1% | 47 | $879.85 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 73 | $874.93 |
| 99177 | <1% | 68 | $611.10 | |
| 0072A | <1% | 13 | $596.44 | |
| 94760 | <1% | 96 | $236.28 | |
| 92587 | <1% | 12 | $202.68 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $186.96 |
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.