Pawtucket Primary Care LLC

Pawtucket Primary Care LLC was paid $93K by Medicaid between Oct 2023 and Dec 2024, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.

33Billing provider infoPAWTUCKET PRIMARY CARE LLC
PAWTUCKET, RI 02860

33aNPI1538845441assigned 06/26/2023

33bProvider typeFamily Nurse Practitioner

28Total paid$93K

24GClaims1,200

24DCodes billed2

24AFirst – last monthOct 2023 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Rhode Island

Rank by total paid#69 of 266

Median peer was paid$31K

This provider vs. median3.0×

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
2023	156	$12K
2024incomplete	1,044	$81K

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	73%	984	761	$68K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	27%	216	212	$25K

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.

From NPPES

Who's on the registration

Authorized officialVALEZ, ANNE (FNP-BC)