Scarfo, Carla

Scarfo, Carla was paid $21K by Medicaid between Jul 2018 and Jun 2022, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 77% of everything it billed.

33Billing provider infoSCARFO, CARLA
WEST BRIDGEWATER, MA 02379

33aNPI1942477740assigned 05/12/2008

33bProvider typePediatrics Physician

28Total paid$21K

24GClaims523

24DCodes billed6

24AFirst – last monthJul 2018 – Jun 2022

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#663 of 1,273

Median peer was paid$24K

This provider vs. median0.9×

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	153	$5K
2019	199	$8K
2020	71	$2K
2021	75	$5K
2022	25	$1K

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	77%	328	297	$17K
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	12%	36	30	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.5%	12	12	$959.00
90460	Immunization administration through 18 years of age via any route, first or only component	4.3%	34	32	$915.84
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.1%	20	18	$240.00
90686		<1%	93	47	$46.50

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.