Mugford, Lesley
Mugford, Lesley was paid $354K by Medicaid between Jan 2018 and Mar 2023, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoMUGFORD, LESLEY
HOLYOKE, MA 01040
HOLYOKE, MA 01040
33aNPI1578531075assigned 03/09/2006
33bProvider typeSpecialist
28Total paid$354K
24GClaims9,427
24DCodes billed19
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Specialist providers in Massachusetts
Rank by total paid#33 of 179
Median peer was paid$23K
This provider vs. median15×
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 | 2,027 | $65K | |
| 2019 | 2,447 | $86K | |
| 2020 | 1,814 | $61K | |
| 2021 | 1,414 | $56K | |
| 2022 | 1,367 | $63K | |
| 2023 | 358 | $21K |
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 | 28% | 1,704 | 1,682 | $98K |
| 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 | 24% | 884 | 860 | $84K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 1,559 | 1,181 | $49K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 7.1% | 182 | 182 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 222 | 222 | $19K |
| 99173 | 4.8% | 763 | 763 | $17K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 4.4% | 1,740 | 1,737 | $16K |
| 96127 | 3.2% | 1,021 | 1,013 | $11K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 103 | 103 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 94 | 94 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 493 | 486 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 209 | 209 | $4K |
7 more codes
| 90461 | 1.0% | 99 | $4K | |
| 99051 | <1% | 180 | $3K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 93 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 41 | $495.81 |
| 92552 | <1% | 13 | $212.03 | |
| 94760 | <1% | 14 | $35.42 | |
| 90686 | 0% | 13 | $0.00 |
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.