Ocean State Pediatrics INC

Ocean State Pediatrics INC was paid $174K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoOCEAN STATE PEDIATRICS INC
EAST GREENWICH, RI 02818

33aNPI1760526214assigned 02/17/2007

33bProvider typePediatrics Physician

28Total paid$174K

24GClaims3,272

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Rhode Island

Rank by total paid#106 of 265

Median peer was paid$133K

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	452	$20K
2019	976	$37K
2020	237	$10K
2021	202	$10K
2022	443	$24K
2023	424	$34K
2024incomplete	538	$38K

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	95%	2,723	2,548	$164K
87428		2.9%	101	94	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	171	79	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	136	134	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	69	63	$690.17
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	60	27	$569.12
90461		<1%	12	12	$341.24

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 officialSILVERSMITH, HOWARD (MD)