Physician
Blackstone Valley Pediatrics
Blackstone Valley Pediatrics was paid $221K by Medicaid between Nov 2021 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoBLACKSTONE VALLEY PEDIATRICS
CUMBERLAND, RI 02864
CUMBERLAND, RI 02864
33aNPI1225227200assigned 10/16/2007
33bProvider typePediatrics Physician
28Total paid$221K
24GClaims4,673
24DCodes billed8
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#89 of 265
Median peer was paid$133K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2021 | 17 | $238.54 | |
| 2022 | 839 | $38K | |
| 2023 | 2,147 | $105K | |
| 2024incomplete | 1,670 | $77K |
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 | 64% | 1,598 | 1,494 | $141K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 1,405 | 1,355 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.8% | 186 | 182 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 114 | 113 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.3% | 1,118 | 1,002 | $12K |
| 90461 | 3.3% | 188 | 182 | $7K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 24 | 24 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 40 | 39 | $969.99 |
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 officialLEE, ALEXANDER (VICE PRESIDENT)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.