Theroux, Brian

Theroux, Brian was paid $6K by Medicaid between Apr 2018 and May 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.

33Billing provider infoTHEROUX, BRIAN
E GREENWICH, RI 02818

33aNPI1275546277assigned 08/14/2006

33bProvider typeMedical Physician Assistant

28Total paid$6K

24GClaims134

24DCodes billed2

24AFirst – last monthApr 2018 – May 2023

Compared with peers

Next to other Medical Physician Assistant providers in Rhode Island

Rank by total paid#41 of 54

Median peer was paid$20K

This provider vs. median0.3×

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	12	$546.60
2021	15	$763.02
2022	56	$3K
2023	51	$3K

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	88%	119	118	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	15	15	$763.02

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.