Fallon, Margaret

Fallon, Margaret was paid $2K by Medicaid between Sep 2021 and Dec 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoFALLON, MARGARET
WALTHAM, MA 02451

33aNPI1780104968assigned 06/20/2017

33bProvider typePediatrics Physician

28Total paid$2K

24GClaims50

24DCodes billed4

24AFirst – last monthSep 2021 – Dec 2021

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#1,137 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
2021	50	$2K

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	49%	13	13	$759.33
0071A		36%	12	12	$550.56
96110	Developmental screening, with scoring and documentation, per standardized instrument	7.9%	12	12	$123.24
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	7.6%	13	13	$117.65

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.