Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › North Adams › NPI 1649256660
Physician

Wiseman, Kathryn

Wiseman, Kathryn was paid $458K by Medicaid between Jan 2018 and Mar 2023, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoWISEMAN, KATHRYN
NORTH ADAMS, MA 01247
33aNPI1649256660assigned 12/21/2005
33bProvider typePediatrics Physician
28Total paid$458K
24GClaims10,766
24DCodes billed27
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#164 of 1,273
Median peer was paid$24K
This provider vs. median19×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,836$74K
20192,083$80K
20201,994$79K
20212,234$96K
20222,126$105K
2023493$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 33% 1,708 1,632 $152K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 2,266 2,207 $125K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 8.1% 720 712 $37K
90460 Immunization administration through 18 years of age via any route, first or only component 7.7% 1,160 927 $35K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 3.3% 1,681 1,679 $15K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.2% 115 106 $14K
96127 3.1% 1,080 1,006 $14K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.5% 136 136 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.4% 117 117 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.9% 108 108 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.6% 580 554 $7K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1.0% 197 193 $5K
15 more codes
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 49 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 184 $4K
99177 <1% 106 $3K
90461 <1% 53 $2K
92558 <1% 142 $2K
0071A <1% 37 $2K
0072A <1% 34 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 118 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 66 $785.06
0004A <1% 14 $642.32
99051 <1% 33 $546.48
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 13 $416.13
99050 <1% 12 $198.72
99173 <1% 12 $192.00
85018 <1% 25 $57.64

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.