Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › Pawtucket › NPI 1275618498
Physician

Felber, Karl

Felber, Karl was paid $1.12M by Medicaid between Feb 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoFELBER, KARL
PAWTUCKET, RI 02860
33aNPI1275618498assigned 10/26/2006
28Total paid$1.12M
24GClaims18,672
24DCodes billed30
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Rhode Island

Rank by total paid#4 of 220
Median peer was paid$33K
This provider vs. median34×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20181,917$119K
2019577$37K
20201,898$123K
20215,281$326K
20224,199$241K
20233,179$184K
2024incomplete1,621$94K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 36% 5,547 5,304 $407K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25% 3,382 3,297 $285K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 3,819 3,636 $188K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 9.8% 908 889 $110K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2.1% 699 664 $23K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.4% 210 206 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.4% 211 207 $16K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.4% 273 265 $15K
87428 1.3% 248 242 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 873 844 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 227 188 $8K
87481 <1% 28 27 $6K
18 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 490 $5K
87086 Culture, bacterial; quantitative colony count, urine <1% 334 $4K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 28 $4K
71046 Radiologic examination, chest; 2 views <1% 158 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 134 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 30 $2K
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf <1% 13 $1K
81002 <1% 439 $964.24
73610 <1% 52 $903.48
81003 <1% 453 $724.55
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 12 $616.83
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips <1% 13 $578.52
86803 <1% 12 $468.42
86780 <1% 12 $411.22
87088 <1% 16 $282.79
72040 <1% 12 $272.76
81025 <1% 15 $85.94
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 24 $39.04

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.