Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Karwacki, Ellen

Karwacki, Ellen was paid $7K by Medicaid between Jan 2018 and Jan 2023, across 4 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 54% of everything it billed.

33Billing provider infoKARWACKI, ELLEN
UTICA, NY 13501
33aNPI1083604938assigned 10/24/2005
28Total paid$7K
24GClaims935
24DCodes billed4
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in New York

Rank by total paid#169 of 328
Median peer was paid$7K
This provider vs. median0.9×

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$250$500$7502018201920202021202220232024
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
2018329$3K
2019291$2K
2020238$1K
202144$81.04
202333$556.19
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99231 Subsequent hospital care, per day, straightforward or low complexity 54% 794 292 $4K
90792 Psychiatric diagnostic evaluation with medical services 20% 53 51 $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 17% 55 55 $1K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 8.2% 33 12 $556.19

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.