Sax, Carolyn

Sax, Carolyn was paid $78K by Medicaid between Jan 2018 and Mar 2023, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

33Billing provider infoSAX, CAROLYN
HYDE PARK, MA 02136

33aNPI1821072562assigned 12/06/2005

33bProvider typePediatrics Physician

28Total paid$78K

24GClaims1,941

24DCodes billed9

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#432 of 1,273

Median peer was paid$24K

This provider vs. median3.3×

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

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	392	$13K
2019	263	$12K
2020	114	$5K
2021	842	$33K
2022	306	$13K
2023	24	$2K

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	52%	716	698	$41K
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	25%	204	187	$20K
90460	Immunization administration through 18 years of age via any route, first or only component	11%	278	239	$9K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	4.1%	357	357	$3K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	3.4%	112	112	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.2%	86	86	$2K
96127		<1%	65	64	$667.55
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	52	52	$534.04
99000		<1%	71	70	$70.00

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.