Cummings, Elzbieta

Cummings, Elzbieta was paid $100K by Medicaid between Mar 2018 and Mar 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoCUMMINGS, ELZBIETA
SWANSEA, MA 02777

33aNPI1760439491assigned 05/28/2006

33bProvider typePediatrics Physician

28Total paid$100K

24GClaims1,956

24DCodes billed12

24AFirst – last monthMar 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#403 of 1,273

Median peer was paid$24K

This provider vs. median4.2×

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	173	$11K
2019	601	$25K
2020	344	$13K
2021	381	$15K
2022	353	$27K
2023	104	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	67%	700	662	$68K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	389	384	$19K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.2%	295	275	$3K
90460	Immunization administration through 18 years of age via any route, first or only component	2.4%	63	63	$2K
87428		2.3%	38	38	$2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	2.1%	230	230	$2K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	60	44	$866.24
96127		<1%	61	57	$684.45
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	30	30	$613.50
99173		<1%	30	30	$569.79
92551		<1%	46	46	$395.25
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14	13	$196.83

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.