Marion, Loretta

Marion, Loretta was paid $316K by Medicaid between Jul 2019 and Dec 2024, across 7 billing codes. Its largest line is 99238, Hospital discharge day management, 30 minutes or less — 42% of everything it billed.

33Billing provider infoMARION, LORETTA
PROVIDENCE, RI 02905

33aNPI1285690313assigned 04/26/2006

33bProvider typePediatrics Physician

28Total paid$316K

24GClaims6,967

24DCodes billed7

24AFirst – last monthJul 2019 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#70 of 265

Median peer was paid$133K

This provider vs. median2.4×

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
2019	77	$2K
2021	891	$37K
2022	2,081	$96K
2023	1,952	$94K
2024incomplete	1,966	$87K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99238	Hospital discharge day management, 30 minutes or less	42%	2,502	2,206	$132K
99460		36%	2,489	2,195	$115K
99462		14%	1,736	1,285	$44K
54150		7.6%	163	155	$24K
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	<1%	16	15	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	41	41	$517.01
97802		0%	20	20	$0.00

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.