Sam, David

Sam, David was paid $35K by Medicaid between Jan 2018 and Feb 2022, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 81% of everything it billed.

33Billing provider infoSAM, DAVID
CENTRAL FALLS, RI 02863

33aNPI1710962055assigned 12/09/2005

33bProvider typeFamily Medicine Physician

28Total paid$35K

24GClaims744

24DCodes billed4

24AFirst – last monthJan 2018 – Feb 2022

Compared with peers

Next to other Family Medicine Physician providers in Rhode Island

Rank by total paid#108 of 220

Median peer was paid$33K

This provider vs. median1.1×

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	178	$9K
2019	218	$11K
2020	129	$5K
2021	163	$9K
2022	56	$1K

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	81%	612	546	$29K
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	15%	71	62	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.0%	46	38	$1K
36415	Collection of venous blood by venipuncture	<1%	15	12	$76.05

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.