Physician
Fuentes, Miguel
Fuentes, Miguel was paid $96K by Medicaid between Jan 2018 and Aug 2022, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoFUENTES, MIGUEL
NORTH PROVIDENCE, RI 02904
NORTH PROVIDENCE, RI 02904
33aNPI1912098336assigned 09/28/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$96K
24GClaims2,325
24DCodes billed13
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Rhode Island
Rank by total paid#9 of 18
Median peer was paid$85K
This provider vs. median1.1×
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 | 526 | $21K | |
| 2019 | 498 | $19K | |
| 2020 | 464 | $18K | |
| 2021 | 656 | $26K | |
| 2022 | 181 | $11K |
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 | 78% | 1,266 | 1,151 | $75K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.3% | 399 | 392 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.8% | 131 | 125 | $5K |
| 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 | 4.4% | 62 | 59 | $4K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 2.7% | 102 | 95 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 24 | 24 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 50 | 50 | $876.72 |
| 99050 | <1% | 18 | 16 | $546.48 | |
| 96127 | <1% | 41 | 41 | $262.32 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 26 | 26 | $251.91 |
| 90686 | <1% | 174 | 94 | $116.70 | |
| 94760 | <1% | 20 | 20 | $35.60 |
1 more codes
| 99173 | <1% | 12 | $25.90 |
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.