NP / PA
Fortes, Philomene
Fortes, Philomene was paid $52K by Medicaid between Mar 2018 and Oct 2024, across 13 billing codes. Its largest line is 80061, Lipid panel — 31% of everything it billed.
33Billing provider infoFORTES, PHILOMENE
PAWTUCKET, RI 02860
PAWTUCKET, RI 02860
33aNPI1235568171assigned 11/01/2013
33bProvider typeFamily Nurse Practitioner
28Total paid$52K
24GClaims1,517
24DCodes billed13
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Rhode Island
Rank by total paid#99 of 266
Median peer was paid$31K
This provider vs. median1.7×
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 | 170 | $7K | |
| 2022 | 517 | $15K | |
| 2023 | 505 | $19K | |
| 2024incomplete | 325 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80061 | Lipid panel | 31% | 470 | 465 | $16K |
| 83036 | Hemoglobin; glycosylated (A1C) | 15% | 320 | 316 | $8K |
| 84443 | Thyroid stimulating hormone (TSH) | 11% | 129 | 128 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 110 | 84 | $5K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 6.0% | 36 | 36 | $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 | 5.8% | 73 | 56 | $3K |
| 80053 | Comprehensive metabolic panel | 5.5% | 126 | 124 | $3K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 4.1% | 24 | 24 | $2K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 3.8% | 25 | 24 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | 3.3% | 81 | 80 | $2K |
| 85027 | 3.2% | 97 | 96 | $2K | |
| 87522 | Neg quan hep c or qual rna | 2.6% | 14 | 12 | $1K |
1 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $256.74 |
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.