Physician
Grimes, Kristin
Grimes, Kristin was paid $277K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoGRIMES, KRISTIN
CUMBERLAND, RI 02864
CUMBERLAND, RI 02864
33aNPI1063618783assigned 06/21/2007
33bProvider typePediatrics Physician
28Total paid$277K
24GClaims8,862
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#75 of 265
Median peer was paid$133K
This provider vs. median2.1×
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 | 691 | $21K | |
| 2019 | 514 | $18K | |
| 2020 | 2,001 | $62K | |
| 2021 | 2,220 | $65K | |
| 2022 | 1,471 | $46K | |
| 2023 | 1,158 | $38K | |
| 2024incomplete | 807 | $27K |
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 | 61% | 2,701 | 2,426 | $170K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.9% | 1,316 | 1,235 | $25K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.5% | 1,833 | 1,605 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 166 | 165 | $14K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.8% | 228 | 190 | $10K |
| 90461 | 2.6% | 218 | 210 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 84 | 73 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 492 | 444 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 46 | 41 | $4K |
| 96127 | <1% | 714 | 670 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 91 | 87 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 27 | 27 | $2K |
10 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 130 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 17 | $1K |
| 0072A | <1% | 31 | $1K | |
| 81002 | <1% | 477 | $1K | |
| 0071A | <1% | 21 | $826.95 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | $783.35 |
| 99050 | <1% | 16 | $493.47 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 20 | $214.88 |
| 90686 | <1% | 196 | $94.25 | |
| 91307 | <1% | 17 | $3.68 |
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.