Guggina, Pamela

Guggina, Pamela was paid $166K by Medicaid between Mar 2018 and Jun 2020, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 37% of everything it billed.

33Billing provider infoGUGGINA, PAMELA
EAST BOSTON, MA 02128

33aNPI1528006848assigned 06/02/2006

33bProvider typeEmergency Medicine Physician

28Total paid$166K

24GClaims2,049

24DCodes billed5

24AFirst – last monthMar 2018 – Jun 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#70 of 618

Median peer was paid$8K

This provider vs. median20×

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	572	$46K
2019	929	$78K
2020	548	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	37%	693	691	$62K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	36%	451	447	$59K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	24%	847	845	$40K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.7%	17	17	$3K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	41	41	$1K

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.