Physician
Calisto-Cooney, Marietta
Calisto-Cooney, Marietta was paid $712K by Medicaid between Jan 2018 and Mar 2023, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoCALISTO-COONEY, MARIETTA
PLYMOUTH, MA 02360
PLYMOUTH, MA 02360
33aNPI1730255126assigned 11/28/2006
33bProvider typePediatrics Physician
28Total paid$712K
24GClaims16,532
24DCodes billed27
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#108 of 1,273
Median peer was paid$24K
This provider vs. median30×
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 | 3,063 | $107K | |
| 2019 | 3,430 | $127K | |
| 2020 | 3,580 | $135K | |
| 2021 | 3,555 | $156K | |
| 2022 | 2,132 | $125K | |
| 2023 | 772 | $64K |
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% | 3,436 | 3,333 | $201K |
| 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 | 19% | 1,379 | 1,355 | $135K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 12% | 575 | 569 | $85K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.9% | 2,033 | 1,744 | $71K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 372 | 372 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.9% | 321 | 321 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 269 | 269 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 276 | 276 | $22K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.0% | 2,333 | 2,333 | $21K |
| 90461 | 2.6% | 493 | 491 | $19K | |
| 99050 | 2.1% | 920 | 906 | $15K | |
| 96127 | 1.8% | 1,229 | 1,219 | $13K |
15 more codes
| 99173 | 1.6% | 500 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 981 | $10K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.2% | 278 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 432 | $5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 173 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 89 | $2K |
| 99051 | <1% | 94 | $2K | |
| 36416 | <1% | 60 | $895.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 42 | $858.90 |
| 0072A | <1% | 18 | $825.84 | |
| 0071A | <1% | 13 | $596.44 | |
| 81002 | <1% | 127 | $328.77 | |
| 83655 | <1% | 27 | $298.35 | |
| 94664 | <1% | 16 | $230.08 | |
| 85018 | <1% | 46 | $99.36 |
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.