Concilio Pediatrics

Concilio Pediatrics was paid $189K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 92% of everything it billed.

33Billing provider infoCONCILIO PEDIATRICS
LINCOLN, RI 02865

33aNPI1063629129assigned 05/17/2007

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$189K

24GClaims2,359

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Rhode Island

Rank by total paid#6 of 18

Median peer was paid$85K

This provider vs. median2.2×

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	362	$23K
2019	473	$31K
2020	374	$24K
2021	317	$17K
2022	342	$32K
2023	332	$40K
2024incomplete	159	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	92%	1,788	1,452	$174K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.2%	127	106	$10K
90460	Immunization administration through 18 years of age via any route, first or only component	2.3%	370	355	$4K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	30	30	$406.00
90461		<1%	14	13	$395.24
96127		<1%	30	30	$84.30

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.

From NPPES

Who's on the registration

Authorized officialCONCILIO, AMALIA (MANAGER)