Physician
Trucare INC
Trucare INC was paid $167K by Medicaid between Jul 2018 and Nov 2024, across 19 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 28% of everything it billed.
33Billing provider infoTRUCARE INC
CRANSTON, RI 02910
CRANSTON, RI 02910
33aNPI1538659081assigned 05/10/2018
33bProvider typeInternal Medicine Physician
28Total paid$167K
24GClaims17,450
24DCodes billed19
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Rhode Island
Rank by total paid#54 of 386
Median peer was paid$15K
This provider vs. median11×
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 | 2,440 | $33K | |
| 2019 | 2,501 | $16K | |
| 2020 | 2,561 | $13K | |
| 2021 | 3,185 | $22K | |
| 2022 | 2,388 | $30K | |
| 2023 | 1,956 | $36K | |
| 2024incomplete | 2,419 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 28% | 8,255 | 5,956 | $47K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 1,429 | 938 | $47K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 19% | 2,900 | 2,253 | $32K |
| 99305 | 13% | 909 | 830 | $22K | |
| 99310 | Prolong nursin fac eval 15m | 7.7% | 2,240 | 2,057 | $13K |
| 99306 | Prolong nursin fac eval 15m | 2.7% | 234 | 214 | $5K |
| 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 | <1% | 35 | 30 | $2K |
| 99307 | <1% | 102 | 97 | $180.74 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 28 | 28 | $26.50 |
| 1125F | 0% | 144 | 144 | $0.00 | |
| 1220F | 0% | 141 | 141 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 141 | 141 | $0.00 |
7 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 officialSANTORO, RALPH (OWNER)