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

East Providence Emergency Room INC

East Providence Emergency Room INC was paid $806K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoEAST PROVIDENCE EMERGENCY ROOM INC
EAST PROVIDENCE, RI 02914
33aNPI1295818078assigned 10/23/2006
28Total paid$806K
24GClaims17,745
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in Rhode Island

Rank by total paid#6 of 13
Median peer was paid$734K
This provider vs. median1.1×

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$10K$20K$30K2018201920202021202220232024
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
20185,665$237K
20193,019$135K
20201,061$44K
20211,652$89K
20222,442$126K
20232,176$91K
2024incomplete1,730$84K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 6,130 5,000 $388K
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 31% 2,326 2,044 $249K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.6% 963 774 $45K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.7% 1,528 1,082 $22K
71046 Radiologic examination, chest; 2 views 2.2% 1,041 920 $18K
70210 2.0% 856 722 $16K
94010 1.3% 482 368 $11K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.2% 112 100 $9K
94664 <1% 796 746 $8K
92567 <1% 407 295 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 173 163 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 606 300 $7K
9 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 623 $6K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 411 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 98 $2K
81002 <1% 904 $2K
99215 Doctor's office visit, returning patient (complex) <1% 13 $996.45
81025 <1% 130 $673.25
J1030 Injection, methylprednisolone acetate, 40 mg <1% 88 $594.39
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 13 $33.48
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 45 $32.70

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 officialMILLAR, JENNIFER (ADMINISTRATOR)