Physician
Stuart, Susan
Stuart, Susan was paid $68K by Medicaid between Jan 2018 and Jan 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoSTUART, SUSAN
WESTERLY, RI 02891
WESTERLY, RI 02891
33aNPI1023193281assigned 10/26/2006
33bProvider typePediatrics Physician
28Total paid$68K
24GClaims1,771
24DCodes billed14
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#172 of 265
Median peer was paid$133K
This provider vs. median0.5×
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 | 922 | $35K | |
| 2019 | 400 | $16K | |
| 2020 | 167 | $5K | |
| 2021 | 114 | $2K | |
| 2022 | 129 | $7K | |
| 2023 | 27 | $1K | |
| 2024incomplete | 12 | $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 | 55% | 639 | 591 | $38K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 452 | 421 | $11K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 57 | 51 | $5K |
| 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 | 6.5% | 61 | 57 | $4K |
| 92587 | 4.2% | 94 | 85 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 30 | 28 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 175 | 149 | $2K |
| 90461 | 1.7% | 29 | 26 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 13 | 13 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 96 | 79 | $966.49 |
| 90656 | <1% | 23 | 14 | $587.95 | |
| 99173 | <1% | 47 | 47 | $97.51 |
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.