Nisbet, J

Nisbet, J was paid $46K by Medicaid between Feb 2018 and Apr 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoNISBET, J
WARWICK, RI 02886

33aNPI1255357737assigned 07/15/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$46K

24GClaims790

24DCodes billed12

24AFirst – last monthFeb 2018 – Apr 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Rhode Island

Rank by total paid#36 of 106

Median peer was paid$8K

This provider vs. median5.6×

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	401	$27K
2019	61	$3K
2020	140	$8K
2021	54	$3K
2022	82	$3K
2023	16	$795.31
2024incomplete	36	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	35%	234	212	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	209	193	$10K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	16%	111	108	$8K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	11%	67	63	$5K
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	8.2%	53	53	$4K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	2.6%	36	36	$1K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	1.6%	12	12	$740.89
85027		1.3%	12	12	$619.41
86901		<1%	12	12	$251.84
86900		<1%	12	12	$251.84
36415	Collection of venous blood by venipuncture	<1%	18	14	$235.18
59025	Fetal non-stress test	<1%	14	13	$158.89

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.