Physician
Sheils, Catherine
Sheils, Catherine was paid $32K by Medicaid between Jun 2018 and Jan 2023, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.
33Billing provider infoSHEILS, CATHERINE
BOSTON, MA 02115
BOSTON, MA 02115
33aNPI1407946775assigned 10/14/2006
33bProvider typePediatric Pulmonology Physician
28Total paid$32K
24GClaims419
24DCodes billed2
24AFirst – last monthJun 2018 – Jan 2023
Compared with peers
Next to other Pediatric Pulmonology Physician providers in Massachusetts
Rank by total paid#6 of 21
Median peer was paid$6K
This provider vs. median5.8×
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 | 94 | $7K | |
| 2019 | 140 | $11K | |
| 2020 | 53 | $5K | |
| 2021 | 49 | $5K | |
| 2022 | 67 | $4K | |
| 2023 | 16 | $110.62 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 97% | 306 | 303 | $31K |
| 94010 | 2.5% | 113 | 113 | $813.20 |
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.