Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › Woonsocket › NPI 1679925010
NP / PA

Horan, Kathryn

Horan, Kathryn was paid $30K by Medicaid between Jan 2018 and Apr 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoHORAN, KATHRYN
WOONSOCKET, RI 02895
33aNPI1679925010assigned 07/11/2016
28Total paid$30K
24GClaims695
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers

Next to other Family Nurse Practitioner providers in Rhode Island

Rank by total paid#136 of 266
Median peer was paid$31K
This provider vs. median1.0×

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$2.0K$4.0K2018201920202021202220232024
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
2018200$9K
2019219$11K
2020147$4K
2021129$6K
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 44% 303 249 $13K
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 39% 219 197 $12K
G0467 Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 9.1% 15 12 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8.1% 142 121 $2K
36415 Collection of venous blood by venipuncture <1% 16 16 $77.12

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.