Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › West Warwick › NPI 1659377307
Physician

Lafazia, Frank

Lafazia, Frank was paid $353K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.

33Billing provider infoLAFAZIA, FRANK
WEST WARWICK, RI 02893
33aNPI1659377307assigned 06/27/2005
28Total paid$353K
24GClaims7,770
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Rhode Island

Rank by total paid#26 of 220
Median peer was paid$33K
This provider vs. median11×

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$20K2018201920202021202220232024
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
2018625$32K
2019607$26K
20201,818$82K
20211,638$68K
20221,181$53K
20231,150$55K
2024incomplete751$37K
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 79% 5,680 4,288 $279K
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 14% 722 602 $51K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.5% 451 234 $16K
80305 1.9% 877 658 $7K
99406 <1% 40 13 $448.87

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.