Udelsman, Marissa

Udelsman, Marissa was paid $2K by Medicaid between Jan 2018 and Mar 2019, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 68% of everything it billed.

33Billing provider infoUDELSMAN, MARISSA
PASADENA, CA 91104

33aNPI1811322373assigned 09/03/2013

33bProvider typePediatric Nurse Practitioner

28Total paid$2K

24GClaims128

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other Pediatric Nurse Practitioner providers in California

Rank by total paid#5 of 14

Median peer was paid$252.50

This provider vs. median9.1×

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
2018	104	$2K
2019	24	$599.16

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	68%	38	36	$2K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	23%	66	66	$533.28
96110	Developmental screening, with scoring and documentation, per standardized instrument	9.0%	24	24	$208.56

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.