Physician
DRS. Concannon and Vitale, LLC
DRS. Concannon and Vitale, LLC was paid $443K by Medicaid between Sep 2022 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoDRS. CONCANNON AND VITALE, LLC
CRANSTON, RI 02920
CRANSTON, RI 02920
33aNPI1366402018assigned 03/26/2006
33bProvider typePediatrics Physician
28Total paid$443K
24GClaims9,117
24DCodes billed21
24AFirst – last monthSep 2022 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#54 of 265
Median peer was paid$133K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2022 | 1,687 | $91K | |
| 2023 | 3,630 | $185K | |
| 2024incomplete | 3,800 | $167K |
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 | 48% | 2,605 | 2,402 | $215K |
| 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 | 31% | 1,116 | 1,061 | $136K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.6% | 465 | 453 | $25K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.4% | 821 | 813 | $15K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 442 | 385 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.0% | 439 | 423 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 54 | 53 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 58 | 58 | $6K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 1.3% | 542 | 508 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 541 | 509 | $6K |
| 96127 | <1% | 1,165 | 753 | $4K | |
| 90461 | <1% | 64 | 63 | $3K |
9 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 152 | $1K |
| 87807 | <1% | 67 | $535.89 | |
| 96160 | <1% | 174 | $483.97 | |
| 99050 | <1% | 14 | $425.04 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $168.00 |
| 99177 | <1% | 41 | $127.10 | |
| 90656 | <1% | 71 | $33.00 | |
| 90686 | <1% | 258 | $2.53 | |
| 90672 | <1% | 14 | $0.63 |
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 officialCONCANNON, JOHN (SENIOR PARTNER)