Physician
Guarnotta, Brian
Guarnotta, Brian was paid $196K by Medicaid between May 2018 and Mar 2023, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoGUARNOTTA, BRIAN
BRAINTREE, MA 02184
BRAINTREE, MA 02184
33aNPI1255319885assigned 01/04/2006
33bProvider typePediatrics Physician
28Total paid$196K
24GClaims2,452
24DCodes billed15
24AFirst – last monthMay 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#288 of 1,273
Median peer was paid$24K
This provider vs. median8.2×
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 | 233 | $22K | |
| 2019 | 414 | $25K | |
| 2020 | 298 | $16K | |
| 2021 | 759 | $78K | |
| 2022 | 652 | $49K | |
| 2023 | 96 | $5K |
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 | 38% | 357 | 350 | $75K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 673 | 660 | $56K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 12% | 298 | 284 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.8% | 554 | 543 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 57 | 57 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.9% | 169 | 97 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 32 | 31 | $4K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 129 | 129 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $2K |
| 96127 | <1% | 80 | 80 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | 13 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 39 | 39 | $660.84 |
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.