NP / PA
Bugaj, Karen
Bugaj, Karen was paid $351K by Medicaid between Feb 2018 and Sep 2021, across 28 billing codes. Its largest line is 87591, Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe — 16% of everything it billed.
33Billing provider infoBUGAJ, KAREN
BROCKTON, MA 02301
BROCKTON, MA 02301
33aNPI1871894733assigned 11/09/2010
33bProvider typeFamily Nurse Practitioner
28Total paid$351K
24GClaims9,141
24DCodes billed28
24AFirst – last monthFeb 2018 – Sep 2021
Compared with peers
Next to other Family Nurse Practitioner providers in Massachusetts
Rank by total paid#10 of 327
Median peer was paid$5K
This provider vs. median66×
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 | 1,716 | $57K | |
| 2019 | 982 | $37K | |
| 2020 | 2,637 | $116K | |
| 2021 | 3,806 | $140K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 16% | 1,005 | 864 | $55K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 16% | 1,005 | 864 | $55K |
| 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% | 856 | 770 | $38K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 7.0% | 482 | 388 | $25K |
| 87522 | Neg quan hep c or qual rna | 6.7% | 308 | 280 | $23K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 5.4% | 479 | 390 | $19K |
| 87660 | 5.3% | 166 | 150 | $19K | |
| 80061 | Lipid panel | 4.4% | 454 | 362 | $16K |
| 84443 | Thyroid stimulating hormone (TSH) | 4.4% | 446 | 357 | $15K |
| 80053 | Comprehensive metabolic panel | 3.2% | 500 | 410 | $11K |
| 84480 | 3.0% | 316 | 283 | $11K | |
| 86803 | 3.0% | 322 | 292 | $11K |
16 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | 2.6% | 423 | $9K |
| 84439 | 2.4% | 325 | $8K | |
| 85027 | 2.0% | 357 | $7K | |
| 86592 | 1.7% | 469 | $6K | |
| 87480 | 1.4% | 166 | $5K | |
| 86376 | 1.3% | 144 | $5K | |
| 86800 | 1.2% | 125 | $4K | |
| 87510 | 1.1% | 132 | $4K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 360 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 38 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 86 | $706.54 |
| 81001 | <1% | 68 | $601.08 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 12 | $600.96 |
| 99173 | <1% | 57 | $117.97 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 16 | $112.53 |
| 90686 | <1% | 24 | $12.00 |
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.