Clinic
Ocean State Urgent Care Center of Cumberland, LLC
Ocean State Urgent Care Center of Cumberland, LLC was paid $449K by Medicaid between Jan 2018 and Feb 2022, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoOCEAN STATE URGENT CARE CENTER OF CUMBERLAND, LLC
CUMBERLAND, RI 02864
CUMBERLAND, RI 02864
33aNPI1275971400assigned 06/10/2013
33bProvider typeUrgent Care Clinic/Center
28Total paid$449K
24GClaims9,469
24DCodes billed12
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Urgent Care Clinic/Center providers in Rhode Island
Rank by total paid#8 of 13
Median peer was paid$734K
This provider vs. median0.6×
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 | 2,482 | $132K | |
| 2019 | 1,901 | $93K | |
| 2020 | 2,169 | $101K | |
| 2021 | 2,697 | $112K | |
| 2022 | 220 | $10K |
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 | 57% | 4,213 | 3,401 | $254K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,067 | 1,862 | $93K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.1% | 573 | 536 | $36K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.1% | 513 | 476 | $14K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.8% | 298 | 282 | $12K |
| 80305 | 2.4% | 292 | 229 | $11K | |
| 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 | 2.4% | 113 | 95 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 678 | 383 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 496 | 416 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 129 | 114 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | 47 | $2K |
| 81003 | <1% | 44 | 39 | $52.12 |
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 officialD'ALESSANDRO, FRANK (PHYSICIAN/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Lincoln Urgent Care Center, INC. | Lincoln, RI | $969K |
| Ocean State Urgent Care Center of Woonsocket | Woonsocket, RI | $918K |
| Ocean State Urgent Care Center of Smithfield LLC | Smithfield, RI | $402K |
| East Side Primary Care Providence LLC | Providence, RI | $20K |
| Ocean State Urgent Care at ST Joseph Health Center LLC | Providence, RI | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.