Physician
Younes, Claude
Younes, Claude was paid $154K by Medicaid between Jan 2018 and Sep 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoYOUNES, CLAUDE
NORTH PROVIDENCE, RI 02904
NORTH PROVIDENCE, RI 02904
33aNPI1861570871assigned 11/01/2006
33bProvider typeInternal Medicine Physician
28Total paid$154K
24GClaims3,720
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Internal Medicine Physician providers in Rhode Island
Rank by total paid#58 of 386
Median peer was paid$15K
This provider vs. median10×
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 | 486 | $18K | |
| 2019 | 250 | $18K | |
| 2020 | 1,100 | $42K | |
| 2021 | 937 | $38K | |
| 2022 | 449 | $16K | |
| 2023 | 260 | $13K | |
| 2024incomplete | 238 | $8K |
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 | 77% | 1,765 | 1,089 | $119K |
| 80061 | Lipid panel | 6.3% | 368 | 313 | $10K |
| 80048 | Basic metabolic panel (calcium, ionized) | 3.9% | 335 | 278 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 127 | 55 | $6K |
| 84443 | Thyroid stimulating hormone (TSH) | 3.1% | 156 | 127 | $5K |
| 80076 | 2.0% | 168 | 131 | $3K | |
| 81001 | 1.1% | 206 | 161 | $2K | |
| 36415 | Collection of venous blood by venipuncture | 1.1% | 409 | 329 | $2K |
| 85027 | <1% | 87 | 68 | $1K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 49 | 42 | $781.94 |
| 93000 | <1% | 24 | 24 | $384.83 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | 13 | $189.63 |
1 more codes
| 82962 | <1% | 13 | $24.12 |
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.