Li, Karen

Li, Karen was paid $246K by Medicaid between Jun 2021 and Mar 2023, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.

33Billing provider infoLI, KAREN
BOSTON, MA 02111

33aNPI1194369199assigned 11/01/2019

33bProvider typeWomen's Health Nurse Practitioner

28Total paid$246K

24GClaims1,753

24DCodes billed6

24AFirst – last monthJun 2021 – Mar 2023

Compared with peers

Next to other Women's Health Nurse Practitioner providers in Massachusetts

Rank by total paid#2 of 18

Median peer was paid$2K

This provider vs. median113×

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
2021	361	$43K
2022	1,135	$160K
2023	257	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	96%	1,237	1,179	$236K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.4%	28	28	$6K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	335	335	$2K
90674		<1%	68	68	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	71	71	$1K
81025		<1%	14	13	$75.85

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.