Boren, Mary

Boren, Mary was paid $39K by Medicaid between Feb 2018 and Jul 2019, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.

33Billing provider infoBOREN, MARY
OAK CREEK, WI 53154

33aNPI1881008738assigned 06/19/2014

33bProvider typePediatrics Physician

28Total paid$39K

24GClaims920

24DCodes billed8

24AFirst – last monthFeb 2018 – Jul 2019

Compared with peers

Next to other Pediatrics Physician providers in Wisconsin

Rank by total paid#55 of 200

Median peer was paid$4K

This provider vs. median9.0×

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
2018	462	$17K
2019	458	$22K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	73%	399	334	$29K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	24%	212	186	$10K
99051		1.3%	114	95	$520.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	18	14	$282.60
96127		<1%	13	13	$248.20
90460	Immunization administration through 18 years of age via any route, first or only component	0%	124	87	$0.00
90461		0%	14	14	$0.00
94760		0%	26	13	$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.