Physician
Encarnacion, Janet
Encarnacion, Janet was paid $163K by Medicaid between Dec 2019 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoENCARNACION, JANET
PROVIDENCE, RI 02904
PROVIDENCE, RI 02904
33aNPI1144244963assigned 07/26/2006
33bProvider typeFamily Medicine Physician
28Total paid$163K
24GClaims4,041
24DCodes billed13
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Rhode Island
Rank by total paid#41 of 220
Median peer was paid$33K
This provider vs. median4.9×
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 | |
|---|---|---|---|
| 2019 | 12 | $0.00 | |
| 2021 | 379 | $14K | |
| 2022 | 1,642 | $68K | |
| 2023 | 1,316 | $54K | |
| 2024incomplete | 692 | $27K |
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 | 74% | 1,909 | 1,807 | $121K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 668 | 599 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 382 | 372 | $3K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.7% | 15 | 13 | $3K |
| 0134A | 1.6% | 67 | 66 | $3K | |
| 90480 | 1.4% | 69 | 67 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.1% | 282 | 279 | $2K |
| 82962 | <1% | 569 | 550 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $825.72 |
| 0064A | <1% | 30 | 30 | $737.91 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | 12 | $139.72 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 14 | 14 | $0.00 |
1 more codes
| S9083 | Global fee urgent care centers | 0% | 12 | $0.00 |
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.