Chan, Philip

Chan, Philip was paid $45K by Medicaid between Nov 2021 and Oct 2023, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoCHAN, PHILIP
PROVIDENCE, RI 02904

33aNPI1265658116assigned 04/18/2007

33bProvider typeInfectious Disease Physician

28Total paid$45K

24GClaims1,157

24DCodes billed10

24AFirst – last monthNov 2021 – Oct 2023

Compared with peers

Next to other Infectious Disease Physician providers in Rhode Island

Rank by total paid#6 of 14

Median peer was paid$13K

This provider vs. median3.4×

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
2021	19	$867.75
2022	844	$30K
2023	294	$14K

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	75%	670	611	$34K
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	16%	91	88	$7K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.4%	105	96	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.1%	12	12	$956.26
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.0%	13	13	$461.66
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.0%	24	21	$460.15
96127		1.0%	159	142	$455.95
99401		<1%	14	14	$363.58
96160		<1%	50	49	$148.29
36415	Collection of venous blood by venipuncture	<1%	19	19	$127.05

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.