Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › Pawtucket › NPI 1083275325
NP / PA

Roberts, Emmie Lou

Roberts, Emmie Lou was paid $206K by Medicaid between Apr 2021 and Jul 2022, across 10 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 38% of everything it billed.

33Billing provider infoROBERTS, EMMIE LOU
PAWTUCKET, RI 02860
33aNPI1083275325assigned 06/26/2019
28Total paid$206K
24GClaims2,230
24DCodes billed10
24AFirst – last monthApr 2021 – Jul 2022
Compared with peers

Next to other Medical Physician Assistant providers in Rhode Island

Rank by total paid#6 of 54
Median peer was paid$20K
This provider vs. median10×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20211,391$131K
2022839$75K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 38% 556 375 $77K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 530 391 $50K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 21% 325 323 $44K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 6.3% 312 234 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 4.8% 126 124 $10K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 4.3% 246 246 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.2% 92 72 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 12 12 $261.24
87086 Culture, bacterial; quantitative colony count, urine <1% 15 15 $207.96
81025 <1% 16 12 $189.04

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.