Stephens, Sandy

Stephens, Sandy was paid $5K by Medicaid between Feb 2018 and Jan 2020, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoSTEPHENS, SANDY
WILMINGTON, MA 01887

33aNPI1225029648assigned 11/03/2005

33bProvider typePediatrics Physician

28Total paid$5K

24GClaims128

24DCodes billed3

24AFirst – last monthFeb 2018 – Jan 2020

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#945 of 1,273

Median peer was paid$24K

This provider vs. median0.2×

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	57	$3K
2019	57	$2K
2020	14	$143.78

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	70%	57	55	$4K
90460	Immunization administration through 18 years of age via any route, first or only component	22%	29	28	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	8.2%	42	40	$436.86

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.