Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rathore, Ritesh

Rathore, Ritesh was paid $8K by Medicaid between May 2018 and Jun 2022, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.

33Billing provider infoRATHORE, RITESH
PROVIDENCE, RI 02908
33aNPI1467459263assigned 07/07/2005
28Total paid$8K
24GClaims397
24DCodes billed5
24AFirst – last monthMay 2018 – Jun 2022
Compared with peers

Next to other Hematology & Oncology Physician providers in Rhode Island

Rank by total paid#15 of 24
Median peer was paid$14K
This provider vs. median0.6×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
201825$175.59
2020133$3K
202165$2K
2022174$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 55% 84 70 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 31% 227 140 $3K
80053 Comprehensive metabolic panel 9.2% 47 27 $770.00
83735 2.4% 20 13 $199.73
84100 1.6% 19 13 $134.74

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.