Dufresne, Shannon

Dufresne, Shannon was paid $12K by Medicaid between Jan 2018 and Mar 2022, across 4 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 40% of everything it billed.

33Billing provider infoDUFRESNE, SHANNON
DANVERS, MA 01923

33aNPI1245453083assigned 04/10/2007

33bProvider typePediatrics Physician

28Total paid$12K

24GClaims496

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#783 of 1,273

Median peer was paid$24K

This provider vs. median0.5×

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	270	$6K
2019	139	$4K
2020	75	$2K
2022	12	$123.24

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	40%	136	133	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	37%	80	73	$5K
96110	Developmental screening, with scoring and documentation, per standardized instrument	13%	152	147	$2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	9.8%	128	124	$1K

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.