Eldert, Casey
Eldert, Casey was paid $127K by Medicaid between Jan 2018 and Aug 2022, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoELDERT, CASEY
MIDDLETOWN, RI 02842
MIDDLETOWN, RI 02842
33aNPI1750540571assigned 06/06/2008
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$127K
24GClaims3,886
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Rhode Island
Rank by total paid#18 of 80
Median peer was paid$16K
This provider vs. median8.0×
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
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 | 1,235 | $42K | |
| 2019 | 949 | $30K | |
| 2020 | 664 | $19K | |
| 2021 | 764 | $22K | |
| 2022 | 274 | $13K |
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 | 70% | 1,532 | 1,374 | $89K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 204 | 177 | $17K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 102 | 100 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.3% | 807 | 737 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 194 | 169 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | 13 | $1K |
| 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 | <1% | 13 | 13 | $651.04 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 66 | 66 | $650.10 |
| 90686 | <1% | 751 | 363 | $374.50 | |
| 99173 | <1% | 178 | 165 | $287.42 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | 25 | $281.20 |
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.