Kramer, Eileen

Kramer, Eileen was paid $34K by Medicaid between Mar 2018 and Nov 2022, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoKRAMER, EILEEN
NEWTON, MA 02462

33aNPI1841237039assigned 05/31/2006

33bProvider typePediatrics Physician

28Total paid$34K

24GClaims848

24DCodes billed7

24AFirst – last monthMar 2018 – Nov 2022

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#575 of 1,273

Median peer was paid$24K

This provider vs. median1.4×

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	387	$12K
2019	256	$15K
2020	167	$7K
2021	26	$1K
2022	12	$108.60

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	67%	403	371	$23K
90460	Immunization administration through 18 years of age via any route, first or only component	16%	229	126	$6K
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	12%	49	46	$4K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	3.4%	127	126	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	16	16	$164.32
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	12	12	$146.76
96127		<1%	12	12	$123.24

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.