Daga, Sejal

Daga, Sejal was paid $978K by Medicaid between Jan 2018 and Mar 2023, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoDAGA, SEJAL
LEOMINSTER, MA 01453

33aNPI1437147782assigned 10/11/2005

33bProvider typePediatrics Physician

28Total paid$978K

24GClaims23,548

24DCodes billed29

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#79 of 1,273

Median peer was paid$24K

This provider vs. median41×

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	1,611	$69K
2019	4,355	$170K
2020	4,467	$172K
2021	5,890	$248K
2022	5,644	$247K
2023	1,581	$72K

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	20%	3,488	3,424	$200K
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%	1,926	1,882	$191K
90460	Immunization administration through 18 years of age via any route, first or only component	12%	2,535	2,425	$114K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	8.5%	990	989	$83K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.5%	764	764	$64K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.8%	708	701	$56K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.6%	496	496	$45K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	4.6%	882	871	$45K
90461		3.7%	1,072	1,069	$37K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	3.5%	3,737	3,731	$34K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.0%	2,791	2,778	$29K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	1.6%	190	189	$16K

17 more codes

87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	1.3%	388	$12K
92552		1.0%	436	$10K
96127		<1%	851	$9K
99173		<1%	382	$8K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	229	$5K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	296	$4K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	172	$3K
0072A		<1%	68	$3K
0071A		<1%	50	$2K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	94	$2K
87081		<1%	229	$1K
85018		<1%	674	$1K
99188		<1%	31	$806.00
87634		<1%	13	$804.96
99050		<1%	17	$281.52
92551		<1%	12	$119.16
81003		<1%	27	$53.46

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.