Banker, Heena

Banker, Heena was paid $7K by Medicaid between Jul 2018 and Oct 2021, across 8 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 48% of everything it billed.

33Billing provider infoBANKER, HEENA
WALTHAM, MA 02453

33aNPI1972642494assigned 02/05/2007

33bProvider typePediatrics Physician

28Total paid$7K

24GClaims321

24DCodes billed8

24AFirst – last monthJul 2018 – Oct 2021

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#894 of 1,273

Median peer was paid$24K

This provider vs. median0.3×

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	155	$2K
2019	29	$981.60
2020	125	$3K
2021	12	$286.30

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	48%	122	106	$4K
99188		15%	41	40	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	16	13	$916.16
99173		8.0%	26	25	$578.01
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	7.5%	60	53	$543.49
96127		4.0%	29	28	$287.56
92552		2.9%	13	13	$212.03
92551		1.9%	14	13	$139.02

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.