Physician
Quiles, Rick
Quiles, Rick was paid $2.16M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoQUILES, RICK
CRANSTON, RI 02910
CRANSTON, RI 02910
33aNPI1518956184assigned 10/17/2005
33bProvider typePediatrics Physician
28Total paid$2.16M
24GClaims37,736
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#3 of 265
Median peer was paid$133K
This provider vs. median16×
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 | 6,963 | $309K | |
| 2019 | 969 | $46K | |
| 2020 | 4,346 | $190K | |
| 2021 | 7,279 | $342K | |
| 2022 | 5,641 | $374K | |
| 2023 | 6,668 | $474K | |
| 2024incomplete | 5,870 | $426K |
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 | 33% | 9,940 | 8,755 | $720K |
| 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 | 17% | 3,647 | 3,333 | $359K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.9% | 2,088 | 1,996 | $213K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.8% | 2,259 | 2,142 | $213K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 2,211 | 2,044 | $210K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 1,682 | 1,449 | $148K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.2% | 6,098 | 5,796 | $113K |
| 90461 | 3.5% | 2,302 | 2,192 | $76K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 225 | 212 | $25K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 1,949 | 1,811 | $24K |
| 94010 | <1% | 813 | 785 | $19K | |
| 97802 | <1% | 554 | 538 | $11K |
11 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.