Carvalho, Karen

Carvalho, Karen was paid $55K by Medicaid between Oct 2020 and Feb 2022, across 5 billing codes. Its largest line is 95810, Polysomnography; sleep staging with 4 or more additional parameters — 56% of everything it billed.

33Billing provider infoCARVALHO, KAREN
PHILADELPHIA, PA 19134

33aNPI1467474429assigned 07/25/2006

33bProvider typeNeurology with Special Qualifications in Child Neurology Physician

28Total paid$55K

24GClaims650

24DCodes billed5

24AFirst – last monthOct 2020 – Feb 2022

Compared with peers

Next to other Neurology with Special Qualifications in Child Neurology Physician providers in Pennsylvania

Rank by total paid#11 of 21

Median peer was paid$55K

This provider vs. median1.0×

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
2020	103	$9K
2021	498	$41K
2022	49	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
95810	Polysomnography; sleep staging with 4 or more additional parameters	56%	308	300	$31K
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	32%	262	257	$18K
95812		5.1%	41	35	$3K
95782		4.3%	27	27	$2K
99244	Office or other outpatient consultation, moderate to high complexity	2.7%	12	12	$2K

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.