Herrera, Carolina
Herrera, Carolina was paid $972K by Medicaid between Aug 2021 and Nov 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoHERRERA, CAROLINA
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1043827645assigned 09/28/2020
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$972K
24GClaims15,765
24DCodes billed37
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Rhode Island
Rank by total paid#2 of 80
Median peer was paid$16K
This provider vs. median61×
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 | |
|---|---|---|---|
| 2021 | 1,271 | $56K | |
| 2022 | 4,929 | $290K | |
| 2023 | 6,486 | $421K | |
| 2024incomplete | 3,079 | $205K |
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 | 47% | 5,293 | 4,577 | $454K |
| 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 | 17% | 1,370 | 1,261 | $168K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 765 | 723 | $77K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 795 | 787 | $35K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.5% | 1,833 | 1,788 | $34K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 301 | 293 | $32K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 3.1% | 441 | 429 | $31K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 2.8% | 584 | 572 | $28K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 1,023 | 993 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 103 | 103 | $11K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 834 | 803 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 85 | 84 | $9K |
25 more codes
| 82728 | <1% | 251 | $9K | |
| 0002A | <1% | 180 | $7K | |
| 0072A | <1% | 180 | $7K | |
| 0003A | <1% | 160 | $7K | |
| 0071A | <1% | 114 | $5K | |
| 0001A | <1% | 110 | $5K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 51 | $4K |
| 0013A | <1% | 61 | $3K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 53 | $2K |
| 90474 | <1% | 220 | $2K | |
| 99401 | <1% | 74 | $2K | |
| 99188 | <1% | 146 | $2K | |
| 83540 | <1% | 93 | $2K | |
| 99381 | <1% | 15 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 131 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 16 | $2K |
| 99174 | <1% | 45 | $1K | |
| 96127 | <1% | 298 | $970.18 | |
| 99403 | <1% | 12 | $934.77 | |
| 85027 | <1% | 56 | $929.69 | |
| 99050 | <1% | 17 | $697.02 | |
| 90677 | <1% | 12 | $513.00 | |
| 80061 | Lipid panel | <1% | 12 | $379.18 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $358.54 |
| 94760 | <1% | 17 | $71.01 |
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.