LA Prova, Gina

LA Prova, Gina was paid $28K by Medicaid between Mar 2018 and May 2023, across 3 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 81% of everything it billed.

33Billing provider infoLA PROVA, GINA
CUMBERLAND, RI 02864

33aNPI1184690299assigned 02/28/2006

33bProvider typeFamily Medicine Physician

28Total paid$28K

24GClaims210

24DCodes billed3

24AFirst – last monthMar 2018 – May 2023

Compared with peers

Next to other Family Medicine Physician providers in Rhode Island

Rank by total paid#115 of 220

Median peer was paid$33K

This provider vs. median0.9×

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
2018	57	$6K
2019	16	$3K
2020	49	$6K
2021	32	$5K
2023	56	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	81%	132	132	$23K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.9%	47	45	$3K
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	9.4%	31	30	$3K

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.