Mathieu, Michele

Mathieu, Michele was paid $46K by Medicaid between Jan 2018 and Aug 2022, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.

33Billing provider infoMATHIEU, MICHELE
CUMBERLAND, RI 02864

33aNPI1811072986assigned 10/26/2006

33bProvider typePediatrics Physician

28Total paid$46K

24GClaims785

24DCodes billed2

24AFirst – last monthJan 2018 – Aug 2022

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#196 of 265

Median peer was paid$133K

This provider vs. median0.3×

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	189	$11K
2019	148	$9K
2020	71	$4K
2021	229	$13K
2022	148	$10K

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	100%	773	693	$46K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	12	12	$136.88

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.