Physician
O'heelan, Kathleen
O'heelan, Kathleen was paid $376K by Medicaid between May 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoO'HEELAN, KATHLEEN
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1174513451assigned 10/26/2005
33bProvider typeFamily Medicine Physician
28Total paid$376K
24GClaims9,070
24DCodes billed10
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Rhode Island
Rank by total paid#25 of 220
Median peer was paid$33K
This provider vs. median11×
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 | 16 | $643.84 | |
| 2020 | 125 | $6K | |
| 2021 | 16 | $748.78 | |
| 2022 | 1,019 | $46K | |
| 2023 | 4,253 | $169K | |
| 2024incomplete | 3,641 | $154K |
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 | 51% | 4,032 | 3,887 | $194K |
| 87428 | 30% | 2,025 | 1,963 | $115K | |
| 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 | 10% | 569 | 556 | $39K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.7% | 453 | 446 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.8% | 1,118 | 1,088 | $11K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | <1% | 15 | 13 | $2K |
| 81025 | <1% | 332 | 323 | $2K | |
| 81002 | <1% | 411 | 402 | $817.13 | |
| 87210 | <1% | 102 | 100 | $324.42 | |
| 99051 | <1% | 13 | 12 | $137.88 |
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.