Physician
Bencosme, Ursulina
Bencosme, Ursulina was paid $912K by Medicaid between Feb 2020 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoBENCOSME, URSULINA
PROVIDENCE, RI 02907
PROVIDENCE, RI 02907
33aNPI1639195480assigned 07/14/2006
33bProvider typePediatrics Physician
28Total paid$912K
24GClaims19,302
24DCodes billed25
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#20 of 265
Median peer was paid$133K
This provider vs. median6.9×
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.
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 | |
|---|---|---|---|
| 2020 | 3,206 | $122K | |
| 2021 | 4,205 | $153K | |
| 2022 | 4,589 | $186K | |
| 2023 | 3,872 | $233K | |
| 2024incomplete | 3,430 | $219K |
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 | 24% | 3,251 | 3,021 | $221K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 1,905 | 1,878 | $159K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 2,177 | 1,800 | $152K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 1,107 | 1,095 | $90K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.1% | 831 | 818 | $74K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.5% | 1,485 | 1,400 | $69K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.5% | 1,981 | 1,934 | $31K |
| 87428 | 2.7% | 436 | 423 | $25K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 2,656 | 2,600 | $22K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 997 | 980 | $15K |
| 90461 | 1.6% | 457 | 448 | $15K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 854 | 841 | $11K |
13 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 150 | $8K |
| 99460 | <1% | 154 | $7K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 45 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 85 | $3K |
| 90473 | <1% | 249 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 177 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 168 | $2K |
| 99462 | <1% | 24 | $605.61 | |
| 99051 | <1% | 12 | $286.49 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 15 | $266.85 |
| 88720 | <1% | 33 | $92.11 | |
| 90686 | <1% | 38 | $1.44 | |
| 90656 | <1% | 15 | $0.15 |
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.