Prophete, Ruth

Prophete, Ruth was paid $152K by Medicaid between Jan 2018 and Mar 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 99% of everything it billed.

33Billing provider infoPROPHETE, RUTH
NEW BEDFORD, MA 02740

33aNPI1841274081assigned 12/01/2005

33bProvider typePediatrics Physician

28Total paid$152K

24GClaims2,670

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Pediatrics Physician providers in Massachusetts

Rank by total paid#332 of 1,273

Median peer was paid$24K

This provider vs. median6.3×

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	359	$25K
2019	534	$29K
2020	332	$19K
2021	625	$34K
2022	643	$37K
2023	177	$9K

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	99%	2,528	2,391	$150K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	93	92	$1K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	12	12	$281.52
94760		<1%	14	14	$27.72
99000		<1%	23	22	$23.00

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.