O Shea, Carol

O Shea, Carol was paid $90K by Medicaid between Jan 2018 and Jul 2022, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.

33Billing provider infoO SHEA, CAROL
CUMBERLAND, RI 02864

33aNPI1912944943assigned 05/31/2006

33bProvider typePediatrics Physician

28Total paid$90K

24GClaims2,032

24DCodes billed7

24AFirst – last monthJan 2018 – Jul 2022

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#160 of 265

Median peer was paid$133K

This provider vs. median0.7×

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	590	$24K
2019	537	$24K
2020	359	$16K
2021	444	$20K
2022	102	$6K

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	70%	1,088	937	$63K
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	21%	269	252	$19K
90460	Immunization administration through 18 years of age via any route, first or only component	6.9%	349	335	$6K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.3%	151	147	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	28	13	$392.00
90686		<1%	135	123	$66.50
99177		<1%	12	12	$37.20

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.