Physician
Nri Pediatrics PC
Nri Pediatrics PC was paid $344K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoNRI PEDIATRICS PC
CUMBERLAND, RI 02864
CUMBERLAND, RI 02864
33aNPI1427355791assigned 02/22/2011
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$344K
24GClaims8,985
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Rhode Island
Rank by total paid#5 of 18
Median peer was paid$85K
This provider vs. median4.0×
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 | 1,894 | $67K | |
| 2019 | 2,335 | $84K | |
| 2020 | 788 | $29K | |
| 2021 | 1,338 | $51K | |
| 2022 | 1,541 | $64K | |
| 2023 | 764 | $33K | |
| 2024incomplete | 325 | $16K |
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 | 74% | 4,341 | 3,788 | $254K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.7% | 1,983 | 1,828 | $27K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.9% | 294 | 285 | $13K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.9% | 683 | 638 | $13K |
| 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 | 3.7% | 157 | 145 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 57 | 57 | $5K |
| 90461 | 1.4% | 154 | 145 | $5K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 50 | 48 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 276 | 144 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 180 | 175 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 145 | 137 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | 12 | $999.62 |
5 more codes
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 officialBORNSTEIN-BENNETT, MICHELLE (DOCTOR)