Duffy, Susan

Duffy, Susan was paid $534K by Medicaid between Mar 2018 and Nov 2024, across 5 billing codes. Its largest line is 99283, emergency room visit (moderate) — 67% of everything it billed.

33Billing provider infoDUFFY, SUSAN
PROVIDENCE, RI 02903

33aNPI1497779342assigned 07/26/2006

33bProvider typePediatrics Physician

28Total paid$534K

24GClaims3,728

24DCodes billed5

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#48 of 265

Median peer was paid$133K

This provider vs. median4.0×

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	560	$42K
2019	396	$42K
2020	509	$89K
2021	784	$150K
2022	727	$112K
2023	435	$52K
2024incomplete	317	$47K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	67%	2,204	2,132	$357K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	25%	1,284	1,274	$136K
99282	Emergency department visit for the evaluation and management, low to moderate severity	5.5%	172	138	$30K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	1.6%	55	54	$9K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	<1%	13	13	$3K

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.