Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › Pawtucket › NPI 1922388131
Physician

Thapa, Neelam

Thapa, Neelam was paid $159K by Medicaid between Mar 2018 and Mar 2021, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.

33Billing provider infoTHAPA, NEELAM
PAWTUCKET, RI 02860
33aNPI1922388131assigned 08/18/2011
33bProvider typePediatrics Physician
28Total paid$159K
24GClaims4,457
24DCodes billed15
24AFirst – last monthMar 2018 – Mar 2021
Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#118 of 265
Median peer was paid$133K
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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,289$42K
20191,515$55K
20201,292$49K
2021361$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43% 1,209 1,078 $69K
90460 Immunization administration through 18 years of age via any route, first or only component 19% 965 692 $30K
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 11% 194 169 $17K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.4% 129 127 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.8% 92 92 $8K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 4.8% 840 833 $8K
90461 3.1% 127 127 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.7% 407 407 $4K
99177 2.5% 101 101 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.4% 189 187 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.1% 82 82 $2K
96127 <1% 71 69 $790.79
3 more codes
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 12 $281.64
36416 <1% 13 $162.50
99000 <1% 26 $26.00

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.