Berthod, Holly

Berthod, Holly was paid $201K by Medicaid between Mar 2022 and Oct 2024, across 18 billing codes. Its largest line is 87491, Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe — 43% of everything it billed.

33Billing provider infoBERTHOD, HOLLY
PASCOAG, RI 02859

33aNPI1053903443assigned 02/07/2021

33bProvider typeWomen's Health Nurse Practitioner

28Total paid$201K

24GClaims2,282

24DCodes billed18

24AFirst – last monthMar 2022 – Oct 2024

Compared with peers

Next to other Women's Health Nurse Practitioner providers in Rhode Island

Rank by total paid#2 of 11

Median peer was paid$3K

This provider vs. median58×

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
2022	708	$66K
2023	906	$78K
2024incomplete	668	$57K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	43%	520	514	$87K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	27%	468	462	$54K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	506	495	$24K
86803		4.1%	103	101	$8K
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	3.3%	102	100	$7K
87480		2.4%	60	60	$5K
87340		2.3%	102	100	$5K
86780		1.9%	102	100	$4K
87660		1.2%	46	46	$2K
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%	17	17	$1K
81001		<1%	76	72	$1K
87088		<1%	39	37	$1K

6 more codes

87510		<1%	16	$871.13
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	14	$773.14
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	27	$659.48
81025		<1%	30	$148.98
87210		<1%	27	$76.68
83986		<1%	27	$64.44

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.