Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Detora, Nancy

Detora, Nancy was paid $126K by Medicaid between Mar 2018 and Aug 2020, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoDETORA, NANCY
AUBURN, MA 01501
33aNPI1689773095assigned 09/22/2006
33bProvider typePediatrics Physician
28Total paid$126K
24GClaims3,945
24DCodes billed17
24AFirst – last monthMar 2018 – Aug 2020
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#364 of 1,273
Median peer was paid$24K
This provider vs. median5.3×

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$5.0K$10K2018201920202021202220232024
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
20181,377$42K
20191,818$58K
2020750$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54% 1,191 1,136 $68K
90460 Immunization administration through 18 years of age via any route, first or only component 16% 675 489 $20K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 5.6% 775 775 $7K
96127 4.0% 478 477 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.6% 55 55 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.1% 43 43 $4K
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 2.7% 40 40 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.3% 38 38 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.9% 76 75 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.8% 191 190 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.6% 24 24 $2K
90461 1.2% 43 43 $1K
5 more codes
87081 <1% 143 $978.12
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 87 $893.49
99051 <1% 36 $596.16
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 20 $460.59
94760 <1% 30 $75.90

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.