Physician
Wagner, Scott
Wagner, Scott was paid $47K by Medicaid between Oct 2022 and Mar 2023, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoWAGNER, SCOTT
STERLING, MA 01564
STERLING, MA 01564
33aNPI1356801237assigned 03/25/2019
33bProvider typePediatrics Physician
28Total paid$47K
24GClaims1,545
24DCodes billed16
24AFirst – last monthOct 2022 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#510 of 1,273
Median peer was paid$24K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2022 | 692 | $21K | |
| 2023 | 853 | $26K |
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 | 33% | 267 | 261 | $16K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 158 | 158 | $7K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 9.4% | 86 | 86 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.4% | 42 | 42 | $3K |
| 90461 | 7.4% | 87 | 87 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 32 | 30 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 30 | 30 | $2K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.5% | 234 | 232 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 134 | 100 | $1K |
| 92558 | 2.4% | 146 | 146 | $1K | |
| 96127 | 2.4% | 107 | 106 | $1K | |
| 99051 | 1.6% | 44 | 44 | $728.64 |
4 more codes
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.