Physician
East Side Primary Care Providence LLC
East Side Primary Care Providence LLC was paid $20K by Medicaid between Jan 2018 and Jan 2019, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoEAST SIDE PRIMARY CARE PROVIDENCE LLC
PROVIDENCE, RI 02904
PROVIDENCE, RI 02904
33aNPI1558816330assigned 08/22/2016
33bProvider typeInternal Medicine Physician
28Total paid$20K
24GClaims306
24DCodes billed4
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Internal Medicine Physician providers in Rhode Island
Rank by total paid#179 of 386
Median peer was paid$15K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2018 | 274 | $19K | |
| 2019 | 32 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 75% | 229 | 182 | $15K |
| 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 | 22% | 46 | 45 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 16 | 13 | $713.30 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 15 | 15 | $0.00 |
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 officialD'ALESSANDRO, FRANK (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Lincoln Urgent Care Center, INC. | Lincoln, RI | $969K |
| Ocean State Urgent Care Center of Woonsocket | Woonsocket, RI | $918K |
| Ocean State Urgent Care Center of Cumberland, LLC | Cumberland, RI | $449K |
| Ocean State Urgent Care Center of Smithfield LLC | Smithfield, RI | $402K |
| Ocean State Urgent Care at ST Joseph Health Center LLC | Providence, RI | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.