Last, Karen
Last, Karen was paid $60K by Medicaid between Jul 2023 and Dec 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 91% of everything it billed.
33Billing provider infoLAST, KAREN
RIVERSIDE, RI 02915
RIVERSIDE, RI 02915
33aNPI1396493243assigned 03/10/2022
33bProvider typeRegistered Nurse
28Total paid$60K
24GClaims769
24DCodes billed3
24AFirst – last monthJul 2023 – Dec 2024
Compared with peers
Next to other Registered Nurse providers in Rhode Island
Rank by total paid#28 of 76
Median peer was paid$29K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2023 | 161 | $16K | |
| 2024incomplete | 608 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 91% | 601 | 568 | $55K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.1% | 34 | 34 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.7% | 134 | 102 | $1K |
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.