Physician
Sedor, Carolyn
Sedor, Carolyn was paid $2K by Medicaid between Mar 2019 and Feb 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.
33Billing provider infoSEDOR, CAROLYN
WILMINGTON, MA 01887
WILMINGTON, MA 01887
33aNPI1609867027assigned 11/03/2005
33bProvider typePediatrics Physician
28Total paid$2K
24GClaims42
24DCodes billed2
24AFirst – last monthMar 2019 – Feb 2022
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#1,102 of 1,273
Median peer was paid$24K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2019 | 30 | $2K | |
| 2022 | 12 | $123.24 |
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 | 94% | 30 | 30 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.6% | 12 | 12 | $123.24 |
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.