Fernando, Marylou

Fernando, Marylou was paid $478.80 by Medicaid between Oct 2018 and Nov 2019, 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 infoFERNANDO, MARYLOU
AUGUSTA, GA 30909

33aNPI1881644045assigned 05/10/2006

33bProvider typePediatrics Physician

28Total paid$478.80

24GClaims41

24DCodes billed2

24AFirst – last monthOct 2018 – Nov 2019

Compared with peers

Next to other Pediatrics Physician providers in Georgia

Rank by total paid#211 of 220

Median peer was paid$57K

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
2018	29	$274.69
2019	12	$204.11

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%	26	26	$478.80
90686		0%	15	15	$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.