Physician
Gonzalez, Shirley
Gonzalez, Shirley was paid $430K by Medicaid between Jan 2018 and Mar 2023, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoGONZALEZ, SHIRLEY
WATERTOWN, MA 02472
WATERTOWN, MA 02472
33aNPI1366438616assigned 09/22/2005
33bProvider typePediatrics Physician
28Total paid$430K
24GClaims11,775
24DCodes billed22
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#171 of 1,273
Median peer was paid$24K
This provider vs. median18×
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 | 1,920 | $70K | |
| 2019 | 2,251 | $80K | |
| 2020 | 2,029 | $73K | |
| 2021 | 2,333 | $85K | |
| 2022 | 2,499 | $94K | |
| 2023 | 743 | $27K |
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 | 29% | 2,116 | 1,932 | $125K |
| 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 | 20% | 898 | 852 | $87K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 1,729 | 1,645 | $64K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.1% | 2,135 | 2,075 | $22K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 219 | 219 | $18K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.0% | 1,909 | 1,906 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 179 | 179 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 178 | 178 | $15K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.1% | 263 | 255 | $13K |
| 99177 | 3.1% | 771 | 770 | $13K | |
| 92587 | 2.7% | 489 | 456 | $11K | |
| 90461 | 2.2% | 296 | 295 | $10K |
10 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 54 | $4K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 40 | $3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 113 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 101 | $2K |
| 92558 | <1% | 28 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 128 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 17 | $207.91 |
| 85018 | <1% | 86 | $196.54 | |
| 83655 | <1% | 13 | $138.84 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $28.86 |
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.