Physician
Goldstein, Carolyn
Goldstein, Carolyn was paid $813K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoGOLDSTEIN, CAROLYN
SPRINGFIELD, MA 01107
SPRINGFIELD, MA 01107
33aNPI1104915560assigned 10/12/2006
33bProvider typePediatrics Physician
28Total paid$813K
24GClaims34,275
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#94 of 1,273
Median peer was paid$24K
This provider vs. median34×
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 | 3,367 | $109K | |
| 2019 | 5,010 | $158K | |
| 2020 | 3,890 | $134K | |
| 2021 | 4,351 | $143K | |
| 2022 | 5,015 | $175K | |
| 2023 | 6,784 | $80K | |
| 2024incomplete | 5,858 | $15K |
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 | 41% | 10,491 | 10,160 | $333K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 1,992 | 1,992 | $82K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.5% | 1,610 | 1,610 | $70K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 1,773 | 1,773 | $68K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.1% | 6,367 | 6,315 | $66K |
| 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 | 7.9% | 3,139 | 3,038 | $64K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.7% | 1,709 | 1,690 | $63K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 7.1% | 6,433 | 6,422 | $58K |
| 96127 | <1% | 669 | 662 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 80 | 80 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | 12 | $825.12 |
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.