Physician
Walsh, Carolyn
Walsh, Carolyn was paid $178K by Medicaid between Jan 2018 and Mar 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoWALSH, CAROLYN
EAST BOSTON, MA 02128
EAST BOSTON, MA 02128
33aNPI1093030090assigned 04/01/2010
33bProvider typePediatrics Physician
28Total paid$178K
24GClaims5,160
24DCodes billed14
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#309 of 1,273
Median peer was paid$24K
This provider vs. median7.4×
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 | 732 | $26K | |
| 2019 | 777 | $24K | |
| 2020 | 790 | $25K | |
| 2021 | 1,482 | $49K | |
| 2022 | 1,076 | $41K | |
| 2023 | 303 | $12K |
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 | 35% | 1,081 | 1,038 | $62K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 22% | 1,076 | 844 | $39K |
| 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 | 17% | 303 | 281 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 131 | 131 | $11K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 5.9% | 1,166 | 1,156 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.7% | 800 | 792 | $8K |
| 90461 | 4.3% | 212 | 211 | $8K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 97 | 93 | $8K |
| 99177 | <1% | 39 | 39 | $977.96 | |
| 96127 | <1% | 87 | 84 | $914.03 | |
| 36416 | <1% | 28 | 28 | $299.88 | |
| 99000 | <1% | 85 | 83 | $85.00 |
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.