Physician
Miller, Karen
Miller, Karen was paid $19K by Medicaid between Jan 2020 and Dec 2021, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoMILLER, KAREN
BOSTON, MA 02111
BOSTON, MA 02111
33aNPI1114964319assigned 05/31/2006
33bProvider typeDevelopmental - Behavioral Pediatrics Physician
28Total paid$19K
24GClaims519
24DCodes billed21
24AFirst – last monthJan 2020 – Dec 2021
Compared with peers
Next to other Developmental - Behavioral Pediatrics Physician providers in Massachusetts
Rank by total paid#9 of 15
Median peer was paid$21K
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
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 | |
|---|---|---|---|
| 2020 | 470 | $19K | |
| 2021 | 49 | $414.05 |
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% | 56 | 56 | $9K |
| 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 | 22% | 28 | 28 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 14% | 22 | 21 | $3K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 9.6% | 20 | 19 | $2K |
| 71046 | Radiologic examination, chest; 2 views | 2.5% | 18 | 18 | $482.30 |
| 92567 | 2.1% | 49 | 49 | $414.05 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 1.4% | 19 | 18 | $270.01 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 35 | 34 | $233.24 |
| 80051 | 1.2% | 27 | 27 | $225.41 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 16 | 14 | $105.77 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 16 | 15 | $97.72 |
| 82247 | <1% | 16 | 16 | $26.39 |
9 more codes
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.