Physician
Lengyel, Carole
Lengyel, Carole was paid $422K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoLENGYEL, CAROLE
WARWICK, RI 02886
WARWICK, RI 02886
33aNPI1568441699assigned 01/17/2006
33bProvider typePediatrics Physician
28Total paid$422K
24GClaims10,464
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#58 of 265
Median peer was paid$133K
This provider vs. median3.2×
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 | 1,984 | $68K | |
| 2019 | 580 | $17K | |
| 2020 | 1,182 | $38K | |
| 2021 | 1,841 | $61K | |
| 2022 | 1,654 | $77K | |
| 2023 | 1,953 | $99K | |
| 2024incomplete | 1,270 | $61K |
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 | 59% | 3,746 | 3,498 | $249K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.8% | 390 | 366 | $33K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 310 | 288 | $27K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.1% | 1,488 | 770 | $22K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 226 | 199 | $20K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 171 | 159 | $17K |
| 90461 | 3.3% | 493 | 371 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 1,131 | 1,038 | $12K |
| 87428 | 1.8% | 140 | 139 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 522 | 508 | $5K |
| 99050 | 1.2% | 150 | 147 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 183 | 92 | $2K |
14 more codes
| 0071A | <1% | 42 | $2K | |
| 0072A | <1% | 37 | $1K | |
| 96160 | <1% | 276 | $902.07 | |
| 96127 | <1% | 280 | $869.30 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | $638.48 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 35 | $637.23 |
| 90686 | <1% | 568 | $279.00 | |
| 99188 | <1% | 25 | $269.62 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 23 | $222.94 |
| 99000 | <1% | 62 | $165.20 | |
| 99173 | <1% | 68 | $143.69 | |
| 87807 | <1% | 16 | $140.83 | |
| 96161 | <1% | 37 | $128.70 | |
| 90656 | <1% | 26 | $12.50 |
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.