Physician
Catalina, Fernando
Catalina, Fernando was paid $1.42M by Medicaid between Jan 2018 and Mar 2023, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoCATALINA, FERNANDO
LEOMINSTER, MA 01453
LEOMINSTER, MA 01453
33aNPI1528056892assigned 10/11/2005
33bProvider typePediatrics Physician
28Total paid$1.42M
24GClaims32,184
24DCodes billed31
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#50 of 1,273
Median peer was paid$24K
This provider vs. median59×
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 | 2,529 | $113K | |
| 2019 | 5,229 | $206K | |
| 2020 | 5,904 | $239K | |
| 2021 | 7,265 | $318K | |
| 2022 | 8,893 | $423K | |
| 2023 | 2,364 | $118K |
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 | 25% | 3,566 | 3,458 | $356K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 5,102 | 4,955 | $256K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 3,395 | 3,313 | $146K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 1,310 | 1,309 | $110K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.1% | 1,091 | 1,091 | $101K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 932 | 932 | $79K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.1% | 1,411 | 1,363 | $72K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 667 | 664 | $53K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.1% | 4,775 | 4,771 | $44K |
| 90461 | 2.9% | 1,205 | 1,204 | $41K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.7% | 460 | 452 | $38K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 3,252 | 3,246 | $34K |
19 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.2% | 534 | $17K |
| 96127 | 1.0% | 1,391 | $14K | |
| 92552 | <1% | 333 | $8K | |
| 99173 | <1% | 289 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 304 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 414 | $5K |
| 99188 | <1% | 173 | $4K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 223 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 182 | $3K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 16 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $2K |
| 99050 | <1% | 137 | $2K | |
| 99051 | <1% | 129 | $2K | |
| 87081 | <1% | 305 | $2K | |
| 87634 | <1% | 32 | $2K | |
| 0081A | <1% | 38 | $2K | |
| 0124A | <1% | 30 | $1K | |
| 85018 | <1% | 449 | $966.76 | |
| 0004A | <1% | 13 | $596.44 |
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.