Carbone, Thomas

Carbone, Thomas was paid $38K by Medicaid between Jan 2018 and Feb 2020, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.

33Billing provider infoCARBONE, THOMAS
GLOUCESTER, MA 01930

33aNPI1891752549assigned 04/27/2006

33bProvider typePediatrics Physician

28Total paid$38K

24GClaims866

24DCodes billed4

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#555 of 1,273

Median peer was paid$24K

This provider vs. median1.6×

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	420	$18K
2019	390	$18K
2020	56	$3K

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	92%	619	561	$35K
90460	Immunization administration through 18 years of age via any route, first or only component	3.1%	37	37	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.1%	114	114	$1K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	2.3%	96	96	$868.80

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.