Lab
Coastal Medical Physicians, INC.
Coastal Medical Physicians, INC. was paid $1.33M by Medicaid between Feb 2021 and Mar 2023, across 65 billing codes. Its largest line is 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 — 40% of everything it billed.
33Billing provider infoCOASTAL MEDICAL PHYSICIANS, INC.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1437748324assigned 01/14/2021
33bProvider typeClinical Medical Laboratory
28Total paid$1.33M
24GClaims79,854
24DCodes billed65
24AFirst – last monthFeb 2021 – Mar 2023
Compared with peers
Next to other Clinical Medical Laboratory providers in Rhode Island
Rank by total paid#5 of 6
Median peer was paid$1.49M
This provider vs. median0.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MARKELL, PETER controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2021 | 38,865 | $670K | |
| 2022 | 35,366 | $597K | |
| 2023 | 5,623 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 7,583 | 6,190 | $535K |
| 80050 | General health panel | 7.2% | 3,266 | 2,803 | $96K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 6.0% | 3,184 | 2,648 | $80K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 5.5% | 2,400 | 1,997 | $73K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 5.4% | 2,399 | 1,996 | $73K |
| 80061 | Lipid panel | 5.3% | 6,338 | 5,280 | $70K |
| 84443 | Thyroid stimulating hormone (TSH) | 3.5% | 3,458 | 2,834 | $47K |
| 87650 | 3.2% | 2,490 | 2,145 | $43K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.7% | 5,582 | 4,654 | $36K |
| 83036 | Hemoglobin; glycosylated (A1C) | 2.2% | 3,880 | 3,234 | $29K |
| 82607 | 2.1% | 2,147 | 1,802 | $28K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 2.0% | 3,760 | 3,029 | $26K |
53 more codes
| 80053 | Comprehensive metabolic panel | 1.6% | 2,523 | $21K |
| 87806 | 1.2% | 810 | $16K | |
| 82728 | 1.2% | 1,326 | $16K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 2,080 | $11K |
| 84466 | <1% | 841 | $9K | |
| 84439 | <1% | 984 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,714 | $7K |
| 86780 | <1% | 584 | $7K | |
| 86803 | <1% | 535 | $6K | |
| 84153 | <1% | 385 | $6K | |
| 80076 | <1% | 853 | $6K | |
| 81001 | <1% | 2,028 | $6K | |
| 84460 | <1% | 1,184 | $6K | |
| 85027 | <1% | 923 | $5K | |
| 82043 | <1% | 978 | $5K | |
| 84450 | <1% | 1,092 | $5K | |
| 87428 | <1% | 94 | $5K | |
| 82570 | <1% | 989 | $5K | |
| 86618 | <1% | 309 | $4K | |
| 87186 | <1% | 560 | $4K | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 134 | $4K |
| 87905 | <1% | 279 | $3K | |
| 86140 | <1% | 611 | $3K | |
| 82550 | <1% | 483 | $3K | |
| 87808 | <1% | 246 | $3K | |
| 83735 | <1% | 393 | $2K | |
| 81003 | <1% | 1,279 | $2K | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | <1% | 138 | $2K |
| 84481 | <1% | 203 | $2K | |
| 83690 | <1% | 330 | $2K | |
| 85652 | <1% | 836 | $2K | |
| 82746 | <1% | 145 | $2K | |
| 87070 | <1% | 203 | $2K | |
| 83721 | <1% | 180 | $1K | |
| 87210 | <1% | 264 | $995.27 | |
| 83013 | <1% | 15 | $822.76 | |
| 87340 | <1% | 72 | $656.92 | |
| 82565 | <1% | 145 | $638.19 | |
| 85610 | <1% | 170 | $575.83 | |
| 87077 | <1% | 73 | $454.05 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $408.86 |
| 82150 | <1% | 65 | $370.70 | |
| 84403 | <1% | 16 | $363.50 | |
| 86431 | <1% | 64 | $312.28 | |
| 87088 | <1% | 37 | $263.17 | |
| 83001 | <1% | 17 | $260.24 | |
| 82784 | <1% | 32 | $251.94 | |
| 86706 | <1% | 26 | $226.23 | |
| 84436 | <1% | 30 | $175.53 | |
| 80051 | <1% | 18 | $106.08 | |
| 83014 | <1% | 15 | $96.02 | |
| 84550 | <1% | 15 | $58.29 | |
| 82248 | <1% | 13 | $55.10 |
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 officialMARKELL, PETER (EVP & CFO)
Parent organizationCOASTAL MEDICAL PHYSICIANS, INC.
| Provider | Location | Paid |
|---|---|---|
| Rhode Island Hospital | Providence, RI | $380.77M |
| The Miriam Hospital | Providence, RI | $138.58M |
| Gateway Healthcare INC | Pawtucket, RI | $122.93M |
| Emma Pendleton Bradley Hospital | Riverside, RI | $37.64M |
| Newport Hospital | Newport, RI | $15.82M |
| Rhode Island Hospital | Providence, RI | $13.22M |
| Lifespan Physician Group, INC. | Warwick, RI | $6.48M |
| Lifespan Physician Group, INC. | Providence, RI | $5.64M |
| Rhode Island Hospital | Providence, RI | $5.32M |
| Emma Pendleton Bradley Hospital | East Providence, RI | $5.03M |
| Lifespan Physician Group INC | Providence, RI | $4.41M |
| Rhode Island Hospital | Providence, RI | $3.97M |
| Newport Hospital | Newport, RI | $3.05M |
| Rhode Island Hospital | East Providence, RI | $2.58M |
| Vna Technicare, INC. | Providence, RI | $2.52M |
| Rhode Island Hospital | Providence, RI | $2.33M |
| Gateway Healthcare, INC. | Pawtucket, RI | $1.31M |
| Coastal Medical Physicians, INC. | Providence, RI | $1.20M |
| Gateway Healthcare, INC | Johnston, RI | $1.13M |
| Gateway Healthcare, INC | Charlestown, RI | $731K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.