Elwyn, Claire

Elwyn, Claire was paid $108K by Medicaid between Mar 2021 and Jul 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoELWYN, CLAIRE
SOMERVILLE, MA 02143

33aNPI1760882492assigned 08/29/2014

33bProvider typeMental Health Counselor

28Total paid$108K

24GClaims1,160

24DCodes billed4

24AFirst – last monthMar 2021 – Jul 2024

Compared with peers

Next to other Mental Health Counselor providers in Massachusetts

Rank by total paid#229 of 597

Median peer was paid$53K

This provider vs. median2.0×

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
2021	510	$52K
2022	81	$9K
2023	339	$27K
2024incomplete	230	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	51%	602	455	$55K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	38%	351	274	$41K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	189	155	$12K
81025		<1%	18	12	$104.16

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.