Physician
Wagner, Carolyn
Wagner, Carolyn was paid $255.75 by Medicaid between Jun 2020 and May 2023, across 2 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 100% of everything it billed.
33Billing provider infoWAGNER, CAROLYN
LAKE JACKSON, TX 77566
LAKE JACKSON, TX 77566
33aNPI1801142302assigned 08/02/2012
33bProvider typePediatrics Physician
28Total paid$255.75
24GClaims454
24DCodes billed2
24AFirst – last monthJun 2020 – May 2023
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#1,109 of 1,136
Median peer was paid$329K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 42 | $0.00 | |
| 2021 | 146 | $0.00 | |
| 2022 | 196 | $255.75 | |
| 2023 | 70 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 100% | 25 | 12 | $255.75 |
| 1031F | 0% | 429 | 413 | $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.