Physician
Anchor Medical Associates
Anchor Medical Associates was paid $2.89M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoANCHOR MEDICAL ASSOCIATES
LINCOLN, RI 02865
LINCOLN, RI 02865
33aNPI1205832029assigned 06/27/2005
33bProvider typeGeneral Practice Physician
28Total paid$2.89M
24GClaims64,461
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Rhode Island
Rank by total paid#2 of 6
Median peer was paid$12K
This provider vs. median236×
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 | 10,415 | $393K | |
| 2019 | 12,913 | $457K | |
| 2020 | 7,164 | $270K | |
| 2021 | 7,960 | $306K | |
| 2022 | 9,518 | $464K | |
| 2023 | 10,450 | $665K | |
| 2024incomplete | 6,041 | $335K |
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 | 46% | 23,969 | 22,010 | $1.34M |
| 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 | 30% | 11,842 | 11,006 | $860K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 5,210 | 2,399 | $110K |
| 87428 | 2.4% | 1,319 | 1,295 | $69K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 3,759 | 3,579 | $68K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 734 | 711 | $58K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 541 | 527 | $52K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 634 | 587 | $49K |
| 92552 | 1.3% | 1,758 | 1,717 | $39K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 806 | 619 | $38K |
| 99051 | 1.1% | 907 | 874 | $33K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 163 | 158 | $28K |
36 more codes
| 99050 | <1% | 656 | $22K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 253 | $18K |
| 99401 | <1% | 566 | $15K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,221 | $13K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 95 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 264 | $9K |
| 93000 | <1% | 762 | $9K | |
| 90461 | <1% | 263 | $8K | |
| 93320 | <1% | 162 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 194 | $6K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,797 | $6K |
| 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% | 643 | $5K |
| 93325 | <1% | 162 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 296 | $3K |
| 3288F | <1% | 1,421 | $3K | |
| 96127 | <1% | 1,155 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 19 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 139 | $897.79 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 57 | $887.25 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 615 | $599.17 |
| 90480 | <1% | 14 | $541.62 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 36 | $491.64 |
| 96160 | <1% | 145 | $487.22 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 186 | $366.59 |
| 96161 | <1% | 69 | $277.36 | |
| G0008 | Administration of influenza virus vaccine | <1% | 186 | $50.83 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $48.31 |
| 3074F | <1% | 16 | $27.00 | |
| 99173 | <1% | 13 | $26.04 | |
| 90686 | <1% | 39 | $16.50 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 43 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 54 | $0.00 |
| 1159F | 0% | 160 | $0.00 | |
| 99442 | 0% | 50 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 16 | $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 officialBERAHA, NATHAN (MEDICAL DIRECTOR)