Physician
Monica, Taylor
Monica, Taylor was paid $51K by Medicaid between Dec 2018 and Jan 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoMONICA, TAYLOR
WELLESLEY, MA 02481
WELLESLEY, MA 02481
33aNPI1326275819assigned 06/11/2009
33bProvider typePediatrics Physician
28Total paid$51K
24GClaims724
24DCodes billed7
24AFirst – last monthDec 2018 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#489 of 1,273
Median peer was paid$24K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2018 | 14 | $2K | |
| 2019 | 113 | $6K | |
| 2020 | 140 | $7K | |
| 2021 | 117 | $8K | |
| 2022 | 322 | $26K | |
| 2023 | 18 | $2K |
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 | 72% | 432 | 416 | $37K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 12% | 198 | 198 | $6K |
| 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 | 6.7% | 13 | 13 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.5% | 36 | 29 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.9% | 12 | 12 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 19 | 12 | $446.88 |
| 96127 | <1% | 14 | 14 | $217.14 |
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.