Physician
Lafontaine, Donna
Lafontaine, Donna was paid $23K by Medicaid between Mar 2018 and Mar 2020, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoLAFONTAINE, DONNA
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1407887706assigned 07/05/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$23K
24GClaims688
24DCodes billed12
24AFirst – last monthMar 2018 – Mar 2020
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Rhode Island
Rank by total paid#44 of 106
Median peer was paid$8K
This provider vs. median2.7×
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 | 602 | $18K | |
| 2019 | 44 | $2K | |
| 2020 | 42 | $2K |
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 | 38% | 205 | 189 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 17% | 110 | 93 | $4K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 10% | 44 | 38 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 7.3% | 13 | 12 | $2K |
| 86780 | 6.7% | 44 | 38 | $2K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 5.4% | 13 | 12 | $1K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 4.6% | 19 | 19 | $1K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 4.2% | 13 | 13 | $949.95 |
| 81025 | 2.4% | 113 | 101 | $539.68 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 66 | 63 | $509.10 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.4% | 26 | 26 | $322.56 |
| 90674 | <1% | 22 | 22 | $1.05 |
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.