NP / PA
Niro, Carla-Marie
Niro, Carla-Marie was paid $754K by Medicaid between Feb 2018 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.
33Billing provider infoNIRO, CARLA-MARIE
NORTH DARTMOUTH, MA 02747
NORTH DARTMOUTH, MA 02747
33aNPI1336427236assigned 07/26/2011
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$754K
24GClaims10,296
24DCodes billed5
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Massachusetts
Rank by total paid#10 of 211
Median peer was paid$25K
This provider vs. median30×
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 | 923 | $45K | |
| 2019 | 815 | $44K | |
| 2020 | 1,543 | $97K | |
| 2021 | 2,020 | $145K | |
| 2022 | 2,139 | $156K | |
| 2023 | 1,753 | $163K | |
| 2024incomplete | 1,103 | $104K |
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 | 89% | 8,639 | 8,350 | $674K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 933 | 914 | $48K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.1% | 596 | 574 | $15K |
| 99205 | Prolong outpt/office vis | 1.8% | 95 | 95 | $13K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 33 | 33 | $4K |
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.