Gwon, Cally

Gwon, Cally was paid $1K by Medicaid between Dec 2019 and Sep 2022, across 3 billing codes. Its largest line is 96110, Developmental screening, with scoring and documentation, per standardized instrument — 36% of everything it billed.

33Billing provider infoGWON, CALLY
NEWTON, MA 02462

33aNPI1285690941assigned 04/21/2006

33bProvider typePediatrics Physician

28Total paid$1K

24GClaims93

24DCodes billed3

24AFirst – last monthDec 2019 – Sep 2022

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#1,162 of 1,273

Median peer was paid$24K

This provider vs. median0.0×

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
2019	24	$231.84
2020	12	$409.00
2021	31	$300.07
2022	26	$252.38

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96110	Developmental screening, with scoring and documentation, per standardized instrument	36%	42	39	$431.34
90460	Immunization administration through 18 years of age via any route, first or only component	34%	12	12	$409.00
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	30%	39	39	$352.95

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.