Physician
Conway, Karen
Conway, Karen was paid $101K by Medicaid between Jan 2018 and Mar 2023, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoCONWAY, KAREN
CHICOPEE, MA 01020
CHICOPEE, MA 01020
33aNPI1871597120assigned 06/01/2005
33bProvider typePediatrics Physician
28Total paid$101K
24GClaims2,348
24DCodes billed20
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#400 of 1,273
Median peer was paid$24K
This provider vs. median4.2×
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 | 603 | $29K | |
| 2022 | 1,136 | $44K | |
| 2023 | 609 | $28K |
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 | 37% | 351 | 342 | $38K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 312 | 307 | $18K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 246 | 246 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 67 | 67 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 60 | 60 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 60 | 58 | $5K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.8% | 429 | 426 | $4K |
| 90461 | 3.7% | 114 | 114 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.4% | 326 | 324 | $3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.3% | 57 | 57 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 12 | 12 | $1K |
| 96127 | <1% | 77 | 77 | $790.79 |
8 more codes
| 99051 | <1% | 39 | $645.84 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 45 | $596.60 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 24 | $490.80 |
| 92551 | <1% | 39 | $413.63 | |
| 85018 | <1% | 51 | $108.48 | |
| 87081 | <1% | 13 | $92.34 | |
| 85027 | <1% | 13 | $88.38 | |
| 99177 | <1% | 13 | $48.36 |
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.