Physician
Carroll, Nicole
Carroll, Nicole was paid $18K by Medicaid between Dec 2020 and Mar 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoCARROLL, NICOLE
SHIPPENVILLE, PA 16254
SHIPPENVILLE, PA 16254
33aNPI1649593500assigned 03/08/2010
33bProvider typeFamily Medicine Physician
28Total paid$18K
24GClaims1,121
24DCodes billed15
24AFirst – last monthDec 2020 – Mar 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,412 of 2,756
Median peer was paid$19K
This provider vs. median0.9×
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 | 134 | $500.50 | |
| 2021 | 198 | $3K | |
| 2022 | 380 | $8K | |
| 2023 | 395 | $7K | |
| 2024incomplete | 14 | $0.00 |
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 | 55% | 311 | 301 | $10K |
| 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 | 45% | 186 | 178 | $8K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 197 | 191 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 28 | 28 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 45 | 42 | $0.00 |
| 3078F | 0% | 32 | 28 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 12 | 12 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 48 | 45 | $0.00 |
| 3074F | 0% | 89 | 83 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 27 | 27 | $0.00 |
| 3079F | 0% | 43 | 43 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 30 | 30 | $0.00 |
3 more codes
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.