Physician
Pilgrim Park Medical Associates LTD.
Pilgrim Park Medical Associates LTD. was paid $77K by Medicaid between Jan 2018 and Apr 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoPILGRIM PARK MEDICAL ASSOCIATES LTD.
WARWICK, RI 02888
WARWICK, RI 02888
33aNPI1619067386assigned 10/13/2006
33bProvider typeFamily Medicine Physician
28Total paid$77K
24GClaims1,819
24DCodes billed7
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Family Medicine Physician providers in Rhode Island
Rank by total paid#61 of 220
Median peer was paid$33K
This provider vs. median2.3×
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 | $14K | |
| 2019 | 503 | $11K | |
| 2020 | 219 | $10K | |
| 2021 | 210 | $10K | |
| 2022 | 304 | $15K | |
| 2023 | 239 | $13K | |
| 2024incomplete | 70 | $4K |
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 | 100% | 1,511 | 1,359 | $77K |
| 3074F | 0% | 51 | 40 | $0.00 | |
| 1036F | 0% | 30 | 26 | $0.00 | |
| 4010F | 0% | 28 | 25 | $0.00 | |
| 3079F | 0% | 16 | 15 | $0.00 | |
| 4004F | 0% | 171 | 124 | $0.00 | |
| 3078F | 0% | 12 | 12 | $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 officialGRANDE, JOSEPH (PRESIDENT)