Physician
Roger Williams Medical Center
Roger Williams Medical Center was paid $5.37M by Medicaid between Jan 2018 and Aug 2022, across 43 billing codes. Its largest line is 99283, emergency room visit (moderate) — 32% of everything it billed.
33Billing provider infoROGER WILLIAMS MEDICAL CENTER
PROVIDENCE, RI 02908
PROVIDENCE, RI 02908
33aNPI1760736557assigned 11/01/2012
33bProvider typeSurgery Physician
28Total paid$5.37M
24GClaims27,603
24DCodes billed43
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Surgery Physician providers in Rhode Island
Rank by total paid#2 of 32
Median peer was paid$15K
This provider vs. median362×
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 | 11,478 | $1.87M | |
| 2019 | 11,360 | $2.03M | |
| 2020 | 2,011 | $663K | |
| 2021 | 1,816 | $538K | |
| 2022 | 938 | $269K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 32% | 4,271 | 3,537 | $1.72M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 31% | 4,187 | 3,137 | $1.68M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 19% | 2,564 | 1,901 | $1.03M |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 7.7% | 456 | 319 | $414K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 2.6% | 465 | 263 | $141K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.9% | 114 | 65 | $103K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.5% | 204 | 170 | $81K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,281 | 1,336 | $23K |
| 80053 | Comprehensive metabolic panel | <1% | 1,252 | 794 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 368 | 309 | $18K |
| 80305 | <1% | 1,250 | 678 | $17K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,852 | 2,552 | $15K |
31 more codes
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 672 | $14K |
| 80061 | Lipid panel | <1% | 702 | $12K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 307 | $11K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 151 | $10K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 130 | $8K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 640 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 495 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 100 | $5K |
| 85027 | <1% | 476 | $4K | |
| 82607 | <1% | 202 | $4K | |
| 86141 | <1% | 168 | $3K | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | <1% | 25 | $3K |
| 80076 | <1% | 248 | $2K | |
| 83540 | <1% | 230 | $2K | |
| 81001 | <1% | 475 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 23 | $2K |
| 84439 | <1% | 124 | $1K | |
| 85610 | <1% | 275 | $1K | |
| 82728 | <1% | 75 | $1K | |
| 84460 | <1% | 178 | $1K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 30 | $936.00 |
| 85652 | <1% | 266 | $883.74 | |
| 84450 | <1% | 122 | $779.58 | |
| 82565 | <1% | 71 | $464.06 | |
| 86803 | <1% | 25 | $440.25 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 44 | $438.24 |
| 82746 | <1% | 24 | $431.86 | |
| 84466 | <1% | 16 | $252.16 | |
| 82043 | <1% | 13 | $99.45 | |
| 85045 | <1% | 18 | $88.74 | |
| 84100 | <1% | 14 | $81.90 |
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 officialBELCHER, KENNETH (PRESIDENT, CEO)