NP / PA
Ocean State Primary Care Center of East Providence INC
Ocean State Primary Care Center of East Providence INC was paid $19K by Medicaid between Mar 2018 and Jun 2021, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoOCEAN STATE PRIMARY CARE CENTER OF EAST PROVIDENCE INC
EAST PROVIDENCE, RI 02914
EAST PROVIDENCE, RI 02914
33aNPI1225543754assigned 12/06/2017
33bProvider typeAdult Health Nurse Practitioner
28Total paid$19K
24GClaims309
24DCodes billed3
24AFirst – last monthMar 2018 – Jun 2021
Compared with peers
Next to other Adult Health Nurse Practitioner providers in Rhode Island
Rank by total paid#29 of 49
Median peer was paid$27K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2018 | 77 | $5K | |
| 2019 | 85 | $5K | |
| 2020 | 132 | $9K | |
| 2021 | 15 | $649.65 |
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 | 76% | 228 | 188 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 67 | 57 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.3% | 14 | 14 | $2K |
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 officialZUBA, JENNIFER (GENERAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Ocean State Urgent Care Center of Warwick, LLC | Warwick, RI | $458K |
| Ocean State Urgent Care Center of Newport LLC | Middletown, RI | $83K |
| Ocean State Urgent Care Center of Cranston, LLC | Cranston, RI | $19K |
| Ocean State Primary, LLC | Warwick, RI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.