Bourassa, David

Bourassa, David was paid $145K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoBOURASSA, DAVID
WOONSOCKET, RI 02895

33aNPI1215992870assigned 04/18/2006

33bProvider typePediatrics Physician

28Total paid$145K

24GClaims5,674

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#123 of 265

Median peer was paid$133K

This provider vs. median1.1×

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	1,306	$31K
2019	215	$2K
2020	1,156	$33K
2021	868	$19K
2022	687	$17K
2023	761	$23K
2024incomplete	681	$20K

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	65%	1,423	1,341	$94K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	17%	2,672	2,590	$25K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	8.1%	518	425	$12K
90472	Immunization administration, each additional vaccine (list separately)	4.0%	405	391	$6K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	2.2%	24	24	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.5%	65	54	$2K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	12	12	$832.50
92551		<1%	130	120	$775.68
99177		<1%	168	168	$724.68
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	25	25	$360.40
0001A		<1%	12	12	$271.33
90686		<1%	220	217	$105.00

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.