Rugg, Karen
Rugg, Karen was paid $18K by Medicaid between Mar 2018 and Apr 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.
33Billing provider infoRUGG, KAREN
EAST GREENWICH, RI 02818
EAST GREENWICH, RI 02818
33aNPI1730408220assigned 05/23/2010
33bProvider typeDiabetes Educator Registered Nurse
28Total paid$18K
24GClaims396
24DCodes billed4
24AFirst – last monthMar 2018 – Apr 2021
Compared with peers
Next to other Diabetes Educator Registered Nurse providers in Rhode Island
Rank by total paid#3 of 6
Median peer was paid$16K
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 | 33 | $2K | |
| 2020 | 247 | $12K | |
| 2021 | 116 | $4K |
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 | 65% | 256 | 231 | $12K |
| 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 | 35% | 113 | 101 | $6K |
| 96127 | <1% | 12 | 12 | $29.58 | |
| 81003 | <1% | 15 | 15 | $20.16 |
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.