Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › Pawtucket › NPI 1619472339
Physician

Dooley, Jon

Dooley, Jon was paid $210K by Medicaid between May 2022 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoDOOLEY, JON
PAWTUCKET, RI 02860
33aNPI1619472339assigned 03/26/2018
33bProvider typePediatrics Physician
28Total paid$210K
24GClaims3,022
24DCodes billed15
24AFirst – last monthMay 2022 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#91 of 265
Median peer was paid$133K
This provider vs. median1.6×

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$10K$20K$30K2018201920202021202220232024
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
202214$701.21
2024incomplete3,008$209K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43% 974 896 $91K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13% 258 255 $27K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 235 224 $25K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8.2% 152 152 $17K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.0% 125 114 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.4% 184 178 $11K
90461 4.0% 269 265 $8K
90460 Immunization administration through 18 years of age via any route, first or only component 3.7% 481 462 $8K
87428 2.6% 91 91 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 35 34 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 81 80 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 74 73 $687.71
3 more codes
99462 <1% 20 $468.55
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 14 $151.40
99173 <1% 29 $58.45

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.