Physician
Halle, Karen
Halle, Karen was paid $7K by Medicaid between Nov 2018 and Nov 2022, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoHALLE, KAREN
WESTWOOD, MA 02090
WESTWOOD, MA 02090
33aNPI1053410274assigned 09/22/2006
33bProvider typePediatrics Physician
28Total paid$7K
24GClaims206
24DCodes billed7
24AFirst – last monthNov 2018 – Nov 2022
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#909 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 | 14 | $801.64 | |
| 2020 | 103 | $3K | |
| 2021 | 26 | $1K | |
| 2022 | 63 | $2K |
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 | 44% | 52 | 51 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 25% | 45 | 45 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.2% | 27 | 27 | $552.15 |
| 0071A | 8.1% | 12 | 12 | $550.56 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 5.9% | 17 | 17 | $398.99 |
| 96127 | 4.4% | 25 | 25 | $297.84 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.7% | 28 | 28 | $253.40 |
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.