Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Egp INC

Egp INC was paid $705K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoEGP INC
EAST GREENWICH, RI 02818
33aNPI1184713646assigned 10/12/2006
33bProvider typePediatrics Physician
28Total paid$705K
24GClaims11,073
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#33 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

$0$20K$40K2018201920202021202220232024
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
20181,821$93K
20222,056$133K
20233,369$245K
2024incomplete3,827$234K
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 57% 5,083 4,649 $404K
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 31% 1,979 1,797 $215K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3.1% 309 302 $22K
90460 Immunization administration through 18 years of age via any route, first or only component 2.5% 1,041 1,018 $18K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1.2% 777 727 $9K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 51 42 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 65 65 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 451 415 $5K
99050 <1% 144 141 $4K
92587 <1% 60 59 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 26 26 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 120 118 $3K
9 more codes
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 48 $3K
96127 <1% 272 $964.94
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 13 $938.76
90461 <1% 15 $323.28
99173 <1% 146 $305.69
90686 <1% 374 $192.92
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 $156.00
90656 <1% 74 $37.17
99177 <1% 12 $25.08

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 officialDICOLA, DIANE (OFFICE MANAGER)