Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Johnson, Karen

Johnson, Karen was paid $20K by Medicaid between Jan 2018 and Jun 2023, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoJOHNSON, KAREN
WAKEFIELD, RI 02879
33aNPI1720296916assigned 05/19/2007
28Total paid$20K
24GClaims169
24DCodes billed4
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers

Next to other Diabetes Educator Registered Nurse providers in Rhode Island

Rank by total paid#2 of 6
Median peer was paid$16K
This provider vs. median1.3×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
201857$3K
202115$658.45
202257$5K
202340$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 60% 40 24 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 21% 37 27 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 57 41 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6.1% 35 33 $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.