Physician
Buckner, Susan
Buckner, Susan was paid $390K by Medicaid between Jan 2018 and Aug 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoBUCKNER, SUSAN
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1790101525assigned 03/18/2014
33bProvider typePediatrics Physician
28Total paid$390K
24GClaims10,259
24DCodes billed23
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#64 of 265
Median peer was paid$133K
This provider vs. median2.9×
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 | 6,185 | $229K | |
| 2019 | 201 | $3K | |
| 2020 | 1,701 | $66K | |
| 2021 | 1,173 | $45K | |
| 2022 | 866 | $39K | |
| 2023 | 83 | $4K | |
| 2024incomplete | 50 | $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 | 28% | 2,113 | 1,955 | $109K |
| 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% | 844 | 774 | $59K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 827 | 810 | $52K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 772 | 673 | $44K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.6% | 525 | 516 | $34K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 6.1% | 1,335 | 1,288 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.0% | 331 | 323 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.5% | 1,960 | 1,903 | $17K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.2% | 166 | 145 | $9K |
| 99460 | 1.4% | 124 | 110 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 347 | 341 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 208 | 104 | $2K |
11 more codes
| 90473 | <1% | 163 | $2K | |
| 99051 | <1% | 60 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 139 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 36 | $1K |
| 0071A | <1% | 13 | $520.00 | |
| 0072A | <1% | 13 | $486.26 | |
| 99462 | <1% | 19 | $458.68 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 27 | $353.28 |
| 81002 | <1% | 12 | $25.44 | |
| 90686 | <1% | 178 | $9.50 | |
| 90670 | <1% | 47 | $2.30 |
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.