Anderson, Richard

Anderson, Richard was paid $133K by Medicaid between Mar 2018 and Jul 2021, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoANDERSON, RICHARD
PAWTUCKET, RI 02860

33aNPI1821088287assigned 10/26/2005

33bProvider typeOrthopaedic Surgery Physician

28Total paid$133K

24GClaims2,021

24DCodes billed7

24AFirst – last monthMar 2018 – Jul 2021

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Rhode Island

Rank by total paid#8 of 44

Median peer was paid$33K

This provider vs. median4.0×

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	955	$65K
2019	14	$969.22
2020	719	$48K
2021	333	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	70%	1,264	1,208	$93K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	22%	351	344	$29K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.4%	169	161	$8K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	88	87	$953.38
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	15	15	$770.68
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	26	13	$303.16
81002		<1%	108	108	$239.99

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.