Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Rifino, James

Rifino, James was paid $49K by Medicaid between Jan 2018 and Apr 2019, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 48% of everything it billed.

33Billing provider infoRIFINO, JAMES
LEOMINSTER, MA 01453
33aNPI1679530182assigned 04/27/2006
28Total paid$49K
24GClaims574
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#143 of 618
Median peer was paid$8K
This provider vs. median6.0×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018449$39K
2019125$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 48% 252 250 $24K
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 34% 195 195 $17K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 9.8% 96 96 $5K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.2% 31 31 $4K

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.