Physician
Hewamudalige, Nadine
Hewamudalige, Nadine was paid $326K by Medicaid between Jan 2018 and Jan 2021, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoHEWAMUDALIGE, NADINE
PROVIDENCE, RI 02907
PROVIDENCE, RI 02907
33aNPI1184966608assigned 03/22/2013
33bProvider typeFamily Medicine Physician
28Total paid$326K
24GClaims8,678
24DCodes billed28
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Family Medicine Physician providers in Rhode Island
Rank by total paid#27 of 220
Median peer was paid$33K
This provider vs. median9.8×
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 | 5,609 | $224K | |
| 2019 | 324 | $9K | |
| 2020 | 2,693 | $92K | |
| 2021 | 52 | $1K |
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 | 34% | 2,472 | 2,201 | $110K |
| 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 | 21% | 1,058 | 989 | $69K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 589 | 576 | $34K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.6% | 514 | 439 | $28K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.3% | 762 | 730 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 4.0% | 220 | 213 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.9% | 1,378 | 1,325 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 284 | 257 | $9K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.3% | 116 | 114 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 99 | 92 | $6K |
| 99051 | 1.1% | 151 | 149 | $4K | |
| 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 | 1.0% | 19 | 13 | $3K |
16 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 54 | $3K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 15 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 121 | $1K |
| 90473 | <1% | 113 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 119 | $1K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 61 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 19 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 89 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 127 | $823.30 |
| 99460 | <1% | 16 | $713.02 | |
| 81025 | <1% | 44 | $225.65 | |
| 99441 | <1% | 24 | $216.76 | |
| 81002 | <1% | 37 | $76.37 | |
| 90674 | <1% | 29 | $20.99 | |
| 90686 | <1% | 126 | $6.10 | |
| 90670 | <1% | 22 | $1.10 |
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.