Physician
Roy-Bornstein, Carolyn
Roy-Bornstein, Carolyn was paid $122K by Medicaid between Jan 2018 and Jun 2022, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoROY-BORNSTEIN, CAROLYN
HAVERHILL, MA 01830
HAVERHILL, MA 01830
33aNPI1982690533assigned 09/20/2005
33bProvider typePediatrics Physician
28Total paid$122K
24GClaims4,066
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Pediatrics Physician providers in Massachusetts
Rank by total paid#370 of 1,273
Median peer was paid$24K
This provider vs. median5.1×
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 | 626 | $19K | |
| 2019 | 1,298 | $44K | |
| 2020 | 1,278 | $33K | |
| 2021 | 716 | $20K | |
| 2022 | 148 | $7K |
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 | 60% | 1,357 | 1,237 | $73K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 15% | 984 | 972 | $18K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 92 | 92 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 69 | 69 | $6K |
| 99173 | 2.9% | 287 | 287 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 367 | 363 | $3K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 2.8% | 385 | 382 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 177 | 177 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 24 | 24 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $1K |
| 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 | <1% | 12 | 12 | $980.16 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $383.18 |
2 more codes
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.