Physician
Butler, John
Butler, John was paid $227K by Medicaid between Oct 2018 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoBUTLER, JOHN
BARRINGTON, RI 02806
BARRINGTON, RI 02806
33aNPI1588042337assigned 05/13/2015
33bProvider typePediatrics Physician
28Total paid$227K
24GClaims3,885
24DCodes billed13
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#87 of 265
Median peer was paid$133K
This provider vs. median1.7×
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 | 206 | $8K | |
| 2019 | 377 | $21K | |
| 2020 | 588 | $23K | |
| 2021 | 612 | $31K | |
| 2022 | 897 | $57K | |
| 2023 | 733 | $51K | |
| 2024incomplete | 472 | $36K |
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 | 87% | 2,830 | 2,567 | $198K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.9% | 485 | 463 | $11K |
| 99050 | 2.5% | 161 | 150 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 42 | 39 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 109 | 99 | $2K |
| 90461 | <1% | 53 | 51 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | 12 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | 12 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 60 | 30 | $667.91 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 65 | 61 | $650.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | 15 | $524.03 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 24 | 24 | $269.95 |
1 more codes
| 90686 | <1% | 17 | $9.50 |
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.