Physician
Grande, Karen
Grande, Karen was paid $38K by Medicaid between Jul 2018 and Jan 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoGRANDE, KAREN
LINCOLN, RI 02865
LINCOLN, RI 02865
33aNPI1386708923assigned 12/20/2006
33bProvider typeInternal Medicine Physician
28Total paid$38K
24GClaims763
24DCodes billed16
24AFirst – last monthJul 2018 – Jan 2024
Compared with peers
Next to other Internal Medicine Physician providers in Rhode Island
Rank by total paid#140 of 386
Median peer was paid$15K
This provider vs. median2.5×
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 | 48 | $3K | |
| 2021 | 96 | $6K | |
| 2022 | 279 | $13K | |
| 2023 | 206 | $11K | |
| 2024incomplete | 134 | $5K |
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 | 46% | 349 | 344 | $17K |
| 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% | 119 | 114 | $9K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 7.9% | 73 | 71 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.2% | 31 | 31 | $3K |
| 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 | 4.4% | 13 | 13 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 2.0% | 12 | 12 | $750.67 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 2.0% | 12 | 12 | $750.67 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 52 | 26 | $603.12 |
| 99442 | 1.2% | 16 | 16 | $463.52 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 1.2% | 12 | 12 | $456.77 |
| 86803 | <1% | 12 | 12 | $294.98 | |
| 86705 | <1% | 12 | 12 | $252.16 |
4 more codes
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.