Physician
Fantes, Jackie
Fantes, Jackie was paid $1K by Medicaid between Oct 2021 and Feb 2022, across 3 billing codes. Its largest line is 0004A, — 55% of everything it billed.
33Billing provider infoFANTES, JACKIE
EAST BOSTON, MA 02128
EAST BOSTON, MA 02128
33aNPI1275530719assigned 06/30/2005
33bProvider typeFamily Medicine Physician
28Total paid$1K
24GClaims40
24DCodes billed3
24AFirst – last monthOct 2021 – Feb 2022
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#611 of 744
Median peer was paid$10K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 12 | $240.00 | |
| 2022 | 28 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0004A | 55% | 16 | 16 | $734.08 | |
| 0054A | 27% | 12 | 12 | $362.64 | |
| 90688 | 18% | 12 | 12 | $240.00 |
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.