Rosen, Sherryl

Rosen, Sherryl was paid $1.36M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 99% of everything it billed.

33Billing provider infoROSEN, SHERRYL
LYNN, MA 01901

33aNPI1164441622assigned 07/18/2006

33bProvider typePsychiatric/Mental Health Clinical Nurse Specialist

28Total paid$1.36M

24GClaims16,878

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Psychiatric/Mental Health Clinical Nurse Specialist providers in Massachusetts

Rank by total paid#1 of 17

Median peer was paid$68K

This provider vs. median20×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code 99214 with only 3 total codes billed. Highly concentrated billing profile.

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	2,841	$200K
2019	2,823	$197K
2020	2,793	$220K
2021	2,678	$231K
2022	2,978	$248K
2023	1,786	$161K
2024incomplete	979	$100K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	99%	16,282	14,012	$1.35M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	148	146	$8K
96127		<1%	448	406	$5K

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.