Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Plainville › NPI 1164445193
NP / PA

Difiore, Pam

Difiore, Pam was paid $4K by Medicaid between Dec 2019 and Sep 2020, across 1 billing code. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.

33Billing provider infoDIFIORE, PAM
PLAINVILLE, MA 02762
33aNPI1164445193assigned 07/25/2006
28Total paid$4K
24GClaims61
24DCodes billed1
24AFirst – last monthDec 2019 – Sep 2020
Compared with peers

Next to other Primary Care Nurse Practitioner providers in Massachusetts

Rank by total paid#14 of 21
Median peer was paid$7K
This provider vs. median0.6×

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$500$1.0K$1.5K2018201920202021202220232024
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
201915$853.52
202046$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 100% 61 54 $4K

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.