Kerman, Karen

Kerman, Karen was paid $407K by Medicaid between Mar 2018 and Oct 2022, across 9 billing codes. Its largest line is 64644, — 70% of everything it billed.

33Billing provider infoKERMAN, KAREN
FOXBORO, MA 02035

33aNPI1518911767assigned 05/20/2006

33bProvider typeNeurology with Special Qualifications in Child Neurology Physician

28Total paid$407K

24GClaims1,193

24DCodes billed9

24AFirst – last monthMar 2018 – Oct 2022

Compared with peers

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

Rank by total paid#2 of 20

Median peer was paid$13K

This provider vs. median30×

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	329	$65K
2019	140	$97K
2020	96	$36K
2021	389	$116K
2022	239	$93K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
64644		70%	466	407	$286K
J0585	Injection, onabotulinumtoxina, 1 unit	19%	50	43	$76K
64643		3.5%	155	115	$14K
95873		2.5%	308	263	$10K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	2.5%	81	77	$10K
64645		1.5%	67	65	$6K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	16	16	$2K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	37	36	$1K
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	<1%	13	12	$1K

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.