Maguire, Caroline

Maguire, Caroline was paid $99K by Medicaid between Oct 2018 and Oct 2020, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoMAGUIRE, CAROLINE
DANVERS, MA 01923

33aNPI1598199010assigned 09/03/2013

33bProvider typePediatric Nurse Practitioner

28Total paid$99K

24GClaims3,262

24DCodes billed12

24AFirst – last monthOct 2018 – Oct 2020

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Massachusetts

Rank by total paid#16 of 125

Median peer was paid$6K

This provider vs. median17×

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	552	$16K
2019	1,698	$53K
2020	1,012	$31K

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	43%	724	688	$43K
90460	Immunization administration through 18 years of age via any route, first or only component	19%	492	492	$19K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	9.4%	107	107	$9K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	7.6%	760	760	$8K
96110	Developmental screening, with scoring and documentation, per standardized instrument	6.9%	611	611	$7K
99173		3.7%	149	149	$4K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.5%	40	40	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.6%	25	25	$3K
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	2.4%	26	25	$2K
81002		<1%	243	241	$691.11
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	44	44	$578.16
92551		<1%	41	41	$446.08

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.