Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Leominster › NPI 1861480931
Physician

Callahan, Theresa

Callahan, Theresa was paid $843K by Medicaid between Jan 2018 and Mar 2023, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.

33Billing provider infoCALLAHAN, THERESA
LEOMINSTER, MA 01453
33aNPI1861480931assigned 10/12/2005
33bProvider typePediatrics Physician
28Total paid$843K
24GClaims19,353
24DCodes billed27
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#90 of 1,273
Median peer was paid$24K
This provider vs. median35×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20181,564$65K
20193,782$153K
20203,524$141K
20214,768$207K
20224,869$234K
2023846$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 26% 2,251 2,193 $220K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 3,407 3,322 $197K
90460 Immunization administration through 18 years of age via any route, first or only component 11% 1,961 1,865 $89K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.7% 671 671 $56K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.4% 545 545 $46K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5.3% 869 853 $44K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.3% 459 454 $36K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 3.2% 2,975 2,972 $27K
90461 3.1% 753 753 $26K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.6% 2,065 2,062 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.2% 201 201 $19K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1.6% 170 169 $14K
15 more codes
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.2% 307 $10K
96127 <1% 736 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 312 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 423 $5K
92552 <1% 161 $4K
99173 <1% 135 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 144 $3K
87081 <1% 337 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 123 $2K
99050 <1% 64 $1K
87634 <1% 18 $1K
0124A <1% 13 $596.44
99051 <1% 32 $529.92
85018 <1% 205 $448.40
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 16 $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.