Hines, Thomas

Hines, Thomas was paid $137K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.

33Billing provider infoHINES, THOMAS
LINCOLN, RI 02865

33aNPI1083789218assigned 11/22/2006

33bProvider typePediatrics Physician

28Total paid$137K

24GClaims3,140

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#129 of 265

Median peer was paid$133K

This provider vs. median1.0×

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	659	$30K
2019	672	$27K
2020	463	$12K
2021	907	$38K
2022	221	$13K
2023	45	$3K
2024incomplete	173	$13K

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	69%	1,570	1,392	$95K
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	18%	347	303	$24K
90460	Immunization administration through 18 years of age via any route, first or only component	7.6%	451	440	$10K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.4%	38	36	$3K
90461		1.3%	60	60	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	13	13	$1K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	17	17	$427.47
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	33	33	$421.44
90686		<1%	556	295	$288.50
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	14	12	$103.13
99173		<1%	41	41	$88.76

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.