GPS Physician Group of Rhode Island PC

GPS Physician Group of Rhode Island PC was paid $11K by Medicaid between Jan 2018 and Sep 2022, across 6 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 97% of everything it billed.

33Billing provider infoGPS PHYSICIAN GROUP OF RHODE ISLAND PC
COVENTRY, RI 02816

33aNPI1568831162assigned 09/24/2015

33bProvider typeGeriatric Medicine (Internal Medicine) Physician

28Total paid$11K

24GClaims4,775

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2022

Compared with peers

Next to other Geriatric Medicine (Internal Medicine) Physician providers in Rhode Island

Rank by total paid#9 of 15

Median peer was paid$17K

This provider vs. median0.6×

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 SHAPIRO, ERIC 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
2018	779	$2K
2019	1,252	$2K
2020	1,573	$3K
2021	873	$2K
2022	298	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	97%	4,220	2,115	$10K
99497		1.0%	14	12	$108.56
99308	Subsequent nursing facility care, per day, straightforward	<1%	464	343	$89.00
99305		<1%	14	13	$71.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	46	46	$0.00
99306	Prolong nursin fac eval 15m	0%	17	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 officialSHAPIRO, ERIC (VP/AREA CONTROLLER)

Same official

Other billing entities under SHAPIRO, ERIC

Full network →

Provider	Location	Paid
Genesis Eldercare Physician Services LLC	Salisbury, MD	$2.74M
Harwood Behavioral Health II LLC	Baltimore, MD	$1.31M
Harwood Behavioral Health II LLC	Frederick, MD	$969K
GPS Physician Group of New Jersey, PC	Voorhees, NJ	$941K
Geps Physician Group of West Virginia PC	Follansbee, WV	$933K
Genesis Eldercare Physician Services LLC	Arlington, VA	$371K
Genesis Eldercare Physician Services LLC	Windsor, CT	$310K
Geps Physician Group of New Jersey PC	Kennett Square, PA	$214K
Genesis Eldercare Physician Services LLC	Concord, NH	$172K
Geps Physician Group of Pennsylvania PC	Kennett Square, PA	$131K
Geps Physician Group of Georgia PC	Atlanta, GA	$97K
Genesis Eldercare Physician Services LLC	Gardendale, AL	$83K
Geps Physician Group of North Carolina PC	Salisbury, MD	$77K
Harwood Behavioral Health II LLC	Elkton, MD	$76K
Genesis Eldercare Physician Services LLC	Salisbury, MD	$76K
Genesis Eldercare Physician Services LLC	Salisbury, MD	$71K
Genesis Eldercare Physician Services LLC	Venice, FL	$61K
Genesis Eldercare Physician Services LLC	Louisville, KY	$51K
Genesis Eldercare Physician Services LLC	Rutland, VT	$43K
Genesis Eldercare Physician Services LLC	Fredericksburg, VA	$34K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.