Fortuna-Silva, Mary

Fortuna-Silva, Mary was paid $91K by Medicaid between May 2018 and Oct 2024, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 25% of everything it billed.

33Billing provider infoFORTUNA-SILVA, MARY
PROVIDENCE, RI 02905

33aNPI1306917521assigned 11/10/2006

33bProvider typeFamily Nurse Practitioner

28Total paid$91K

24GClaims1,569

24DCodes billed5

24AFirst – last monthMay 2018 – Oct 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Rhode Island

Rank by total paid#70 of 266

Median peer was paid$31K

This provider vs. median2.9×

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	173	$7K
2020	197	$14K
2021	308	$19K
2022	214	$13K
2023	369	$21K
2024incomplete	308	$17K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	25%	550	255	$23K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	24%	365	155	$22K
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	24%	337	321	$22K
99222	Initial hospital care, per day, moderate complexity	21%	224	220	$19K
99221		5.2%	93	85	$5K

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.