NP / PA
Hylton, Elizabeth
Hylton, Elizabeth was paid $30K by Medicaid between Jan 2018 and Feb 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.
33Billing provider infoHYLTON, ELIZABETH
WORCESTER, MA 01608
WORCESTER, MA 01608
33aNPI1376833467assigned 04/11/2011
28Total paid$30K
24GClaims424
24DCodes billed4
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist providers in Massachusetts
Rank by total paid#8 of 9
Median peer was paid$64K
This provider vs. median0.5×
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 | 85 | $5K | |
| 2019 | 25 | $1K | |
| 2020 | 27 | $1K | |
| 2023 | 206 | $17K | |
| 2024incomplete | 81 | $6K |
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% | 257 | 233 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 132 | 125 | $6K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.7% | 15 | 12 | $1K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.0% | 20 | 15 | $607.26 |
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.