Physician
Samofalov, Yelena
Samofalov, Yelena was paid $37K by Medicaid between Apr 2023 and Dec 2024, across 19 billing codes. Its largest line is 96110, Developmental screening, with scoring and documentation, per standardized instrument — 30% of everything it billed.
33Billing provider infoSAMOFALOV, YELENA
SOUTHBRIDGE, MA 01550
SOUTHBRIDGE, MA 01550
33aNPI1780798686assigned 08/18/2006
33bProvider typePediatrics Physician
28Total paid$37K
24GClaims8,570
24DCodes billed19
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#564 of 1,273
Median peer was paid$24K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2023 | 3,532 | $16K | |
| 2024incomplete | 5,038 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 30% | 1,083 | 879 | $11K |
| 96127 | 23% | 804 | 719 | $9K | |
| 92551 | 19% | 746 | 746 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 1,754 | 1,602 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.5% | 138 | 137 | $2K |
| 83655 | 4.0% | 136 | 136 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 311 | 294 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 456 | 456 | $831.50 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 433 | 433 | $497.16 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 535 | 533 | $388.55 |
| 99188 | <1% | 12 | 12 | $312.00 | |
| 85018 | <1% | 131 | 131 | $273.79 |
7 more codes
| 99173 | <1% | 750 | $244.42 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 618 | $224.95 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 258 | $186.96 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 225 | $90.89 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 49 | $42.98 |
| 90474 | <1% | 13 | $9.84 | |
| 90461 | 0% | 118 | $0.00 |
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.