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

Proano, Lawrence

Proano, Lawrence was paid $2.26M by Medicaid between Mar 2020 and Dec 2024, across 20 billing codes. Its largest line is 99283, emergency room visit (moderate) — 33% of everything it billed.

33Billing provider infoPROANO, LAWRENCE
PROVIDENCE, RI 02903
33aNPI1265446538assigned 07/29/2006
28Total paid$2.26M
24GClaims10,914
24DCodes billed20
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Rhode Island

Rank by total paid#1 of 188
Median peer was paid$94K
This provider vs. median24×

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$50K$100K$150K2018201920202021202220232024
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
2020282$84K
20212,626$561K
20222,699$581K
20233,382$633K
2024incomplete1,925$404K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 33% 3,002 2,820 $750K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 25% 2,348 2,217 $568K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 2,539 2,454 $497K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4.7% 784 688 $106K
36415 Collection of venous blood by venipuncture 4.6% 730 625 $103K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.3% 214 205 $51K
81001 1.8% 299 266 $40K
80053 Comprehensive metabolic panel 1.5% 256 227 $33K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.3% 219 186 $29K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.0% 147 76 $23K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 81 72 $15K
80048 Basic metabolic panel (calcium, ionized) <1% 77 67 $10K
8 more codes
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 33 $8K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 33 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 32 $6K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 32 $6K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 37 $5K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 19 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 18 $3K
J3490 Unclassified drugs <1% 14 $233.91

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.