Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › RI › COVENTRY › OCEAN STATE PRIMARY CARE CENTER OF COVENTRY, LLC

OCEAN STATE PRIMARY CARE CENTER OF COVENTRY, LLC

NPI: 1134514276 · COVENTRY, RI 02816 · Physician Assistant · NPI assigned 04/06/2015

$35K
Total Medicaid Paid
1,230
Total Claims
1,000
Beneficiaries
6
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialMARTIN, JONATHAN (MANAGING PARTNER)
NPI Enumeration Date04/06/2015

Related Entities

Other providers sharing the same authorized official: MARTIN, JONATHAN

ProviderCityStateTotal Paid
3MS SERVICES LLC GASTONIA NC $1.40M
OCEAN STATE URGENT CARE CENTER OF BARRINGTON, LLC BARRINGTON RI $96K
OCEAN STATE PRIMARY CARE CENTER OF WESTERLY, LLC WESTERLY RI $64K
OCEAN STATE URGENT CARE CENTER OF WESTERLY, LLC WESTERLY RI $57K
MARTIN AND TUCKER INVESTMENTS INC BRYANT AR $51K
GREENWICH BAY MEDICAL ASSOCIATES, LLC WARWICK RI $2K
AVROK BIOSCIENCES, LLC AZUSA CA $400.32

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 301 $8K
2019 811 $25K
2020 74 $2K
2021 44 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 294 257 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 255 199 $12K
80305 618 491 $5K
1111F 19 12 $68.35
3074F 29 27 $0.00
3078F 15 14 $0.00