Physician
Decarlo, Kristen
Decarlo, Kristen was paid $140K by Medicaid between Aug 2020 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoDECARLO, KRISTEN
NEW YORK, NY 10010
NEW YORK, NY 10010
33aNPI1982042214assigned 06/09/2013
33bProvider typeInternal Medicine Physician
28Total paid$140K
24GClaims2,756
24DCodes billed11
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#1,058 of 6,049
Median peer was paid$11K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2020 | 240 | $36K | |
| 2021 | 548 | $33K | |
| 2022 | 459 | $29K | |
| 2023 | 594 | $22K | |
| 2024incomplete | 915 | $21K |
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 | 66% | 1,316 | 1,218 | $93K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 16% | 194 | 154 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 184 | 162 | $11K |
| 77080 | 3.1% | 613 | 578 | $4K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 20 | 16 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.2% | 17 | 14 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 20 | 20 | $2K |
| 77092 | 1.1% | 338 | 336 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 28 | 12 | $1K |
| 77089 | <1% | 14 | 14 | $325.64 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 12 | 12 | $77.08 |
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.