Physician
Ocean Medical Practice, INC.
Ocean Medical Practice, INC. was paid $516K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoOCEAN MEDICAL PRACTICE, INC.
WOONSOCKET, RI 02895
WOONSOCKET, RI 02895
33aNPI1043401979assigned 08/06/2007
33bProvider typeInternal Medicine Physician
28Total paid$516K
24GClaims14,410
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Rhode Island
Rank by total paid#22 of 386
Median peer was paid$15K
This provider vs. median34×
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 | 1,693 | $73K | |
| 2019 | 3,822 | $64K | |
| 2020 | 2,732 | $73K | |
| 2021 | 1,963 | $83K | |
| 2022 | 1,430 | $84K | |
| 2023 | 1,613 | $82K | |
| 2024incomplete | 1,157 | $57K |
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 | 63% | 7,507 | 5,579 | $328K |
| 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 | 32% | 2,661 | 2,475 | $165K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.6% | 211 | 209 | $19K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 28 | 28 | $4K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 14 | 13 | $939.40 |
| 3079F | <1% | 1,078 | 921 | $352.16 | |
| 3074F | <1% | 1,229 | 966 | $88.92 | |
| 3078F | <1% | 572 | 477 | $20.64 | |
| 3075F | 0% | 379 | 330 | $0.00 | |
| 1036F | 0% | 463 | 391 | $0.00 | |
| 4010F | 0% | 48 | 43 | $0.00 | |
| 4004F | 0% | 158 | 131 | $0.00 |
1 more codes
| 99442 | 0% | 62 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialKHAN, JIBRAN (PRESIDENT)