Physician
Crotty, Maureen
Crotty, Maureen was paid $696K by Medicaid between Jan 2018 and Aug 2022, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoCROTTY, MAUREEN
CUMBERLAND, RI 02864
CUMBERLAND, RI 02864
33aNPI1942205331assigned 06/14/2005
33bProvider typePediatrics Physician
28Total paid$696K
24GClaims15,051
24DCodes billed23
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#34 of 265
Median peer was paid$133K
This provider vs. median5.3×
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 | 4,442 | $180K | |
| 2019 | 3,223 | $156K | |
| 2020 | 2,749 | $125K | |
| 2021 | 3,037 | $156K | |
| 2022 | 1,600 | $80K |
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 | 37% | 4,494 | 3,882 | $258K |
| 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 | 12% | 1,136 | 1,017 | $86K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 796 | 765 | $67K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.6% | 791 | 765 | $67K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.2% | 1,663 | 1,579 | $43K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 519 | 496 | $42K |
| 96112 | 5.4% | 463 | 457 | $37K | |
| 90461 | 4.7% | 888 | 859 | $33K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 769 | 707 | $27K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 943 | 772 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 63 | 63 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 531 | 505 | $5K |
11 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 291 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 42 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 178 | $3K |
| 87070 | <1% | 433 | $3K | |
| 87184 | <1% | 432 | $2K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 137 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 99 | $868.38 |
| 99177 | <1% | 132 | $566.94 | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | <1% | 62 | $162.08 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 104 | $116.69 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 85 | $12.80 |
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.