Carroll, John

Carroll, John was paid $21K by Medicaid between Jan 2018 and Oct 2019, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoCARROLL, JOHN
MALDEN, MA 02148

33aNPI1376511717assigned 03/10/2006

33bProvider typeInternal Medicine Physician

28Total paid$21K

24GClaims670

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#475 of 1,270

Median peer was paid$8K

This provider vs. median2.5×

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	492	$16K
2019	178	$5K

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	72%	248	246	$15K
94375		9.5%	90	90	$2K
93000		9.3%	235	235	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	8.8%	28	28	$2K
82270		<1%	43	43	$59.42
82947		<1%	13	13	$0.95
36415	Collection of venous blood by venipuncture	<1%	13	13	$0.59

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.