Calise, Joann

Calise, Joann was paid $61K by Medicaid between Jun 2019 and Mar 2022, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.

33Billing provider infoCALISE, JOANN
PROVIDENCE, RI 02906

33aNPI1861585630assigned 10/02/2006

33bProvider typeAdult Psychiatric/Mental Health Clinical Nurse Specialist

28Total paid$61K

24GClaims1,365

24DCodes billed4

24AFirst – last monthJun 2019 – Mar 2022

Compared with peers

Next to other Adult Psychiatric/Mental Health Clinical Nurse Specialist providers in Rhode Island

Rank by total paid#4 of 12

Median peer was paid$21K

This provider vs. median2.9×

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
2019	267	$11K
2020	551	$26K
2021	476	$21K
2022	71	$4K

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%	895	759	$43K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	322	286	$12K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	8.9%	135	116	$5K
90792	Psychiatric diagnostic evaluation with medical services	2.3%	13	13	$1K

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.