Physician
Carroll Arthritis, PA
Carroll Arthritis, PA was paid $15K by Medicaid between Jan 2018 and Dec 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 98% of everything it billed.
33Billing provider infoCARROLL ARTHRITIS, PA
WESTMINSTER, MD 21157
WESTMINSTER, MD 21157
33aNPI1376637306assigned 10/03/2006
33bProvider typeRheumatology Physician
28Total paid$15K
24GClaims291
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Rheumatology Physician providers in Maryland
Rank by total paid#14 of 19
Median peer was paid$76K
This provider vs. median0.2×
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 | 168 | $6K | |
| 2019 | 123 | $9K |
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 | 98% | 255 | 244 | $15K |
| 80053 | Comprehensive metabolic panel | <1% | 12 | 12 | $124.44 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12 | 12 | $91.44 |
| 85652 | <1% | 12 | 12 | $31.80 |
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.
From NPPES
Who's on the registration
Authorized officialSHAW, ROBERT (PHYSICIAN/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Boston Children's Health Physicians, LLP | Hawthorne, NY | $52.95M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.