Guida, Karen

Guida, Karen was paid $4K by Medicaid between Oct 2018 and Oct 2019, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoGUIDA, KAREN
BURLINGTON, MA 01803

33aNPI1518247626assigned 08/19/2011

33bProvider typeObstetrics & Gynecology Physician

28Total paid$4K

24GClaims105

24DCodes billed5

24AFirst – last monthOct 2018 – Oct 2019

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Massachusetts

Rank by total paid#131 of 216

Median peer was paid$7K

This provider vs. median0.6×

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	40	$2K
2019	65	$2K

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	33%	14	13	$1K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	29%	27	27	$1K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	29%	27	27	$1K
85027		6.5%	25	24	$247.45
87086	Culture, bacterial; quantitative colony count, urine	2.9%	12	12	$112.46

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.