Physician
Nardone Medical Associates, INC.
Nardone Medical Associates, INC. was paid $569K by Medicaid between Jan 2018 and May 2022, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoNARDONE MEDICAL ASSOCIATES, INC.
PAWTUCKET, RI 02860
PAWTUCKET, RI 02860
33aNPI1205939097assigned 09/06/2006
33bProvider typeInternal Medicine Physician
28Total paid$569K
24GClaims12,928
24DCodes billed18
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Internal Medicine Physician providers in Rhode Island
Rank by total paid#19 of 386
Median peer was paid$15K
This provider vs. median37×
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 | 3,141 | $147K | |
| 2019 | 2,737 | $115K | |
| 2020 | 2,955 | $128K | |
| 2021 | 3,250 | $136K | |
| 2022 | 845 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 48% | 4,705 | 4,082 | $273K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 4,161 | 3,655 | $198K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 8.4% | 714 | 694 | $47K |
| 93000 | 3.5% | 1,032 | 992 | $20K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.3% | 225 | 221 | $13K |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 288 | 276 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 494 | 459 | $3K |
| 96160 | <1% | 648 | 626 | $3K | |
| 0002A | <1% | 40 | 40 | $2K | |
| 99497 | <1% | 27 | 27 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 304 | 277 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | 26 | $1K |
6 more codes
| 0001A | <1% | 24 | $957.52 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 55 | $512.31 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 127 | $303.36 |
| 99406 | <1% | 26 | $243.89 | |
| G0008 | Administration of influenza virus vaccine | <1% | 13 | $17.53 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $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 officialAL-RAQQAD, AHMAD (PRESIDENT)