Fox, Gregory
Fox, Gregory was paid $33K by Medicaid between Jan 2018 and May 2022, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoFOX, GREGORY
EAST PROVIDENCE, RI 02914
EAST PROVIDENCE, RI 02914
33aNPI1851311971assigned 07/20/2006
33bProvider typeSpecialist
28Total paid$33K
24GClaims1,075
24DCodes billed5
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Specialist providers in Rhode Island
Rank by total paid#22 of 46
Median peer was paid$29K
This provider vs. median1.2×
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 | 283 | $10K | |
| 2019 | 314 | $10K | |
| 2020 | 205 | $6K | |
| 2021 | 153 | $4K | |
| 2022 | 120 | $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 | 51% | 298 | 264 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 43% | 501 | 462 | $14K |
| 90461 | 5.5% | 52 | 51 | $2K | |
| 90686 | <1% | 200 | 183 | $99.50 | |
| 99173 | <1% | 24 | 24 | $51.94 |
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.