Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › East Greenwich › NPI 1942370234
Physician

Gianfrocco, Robert

Gianfrocco, Robert was paid $635K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 87428, — 29% of everything it billed.

33Billing provider infoGIANFROCCO, ROBERT
EAST GREENWICH, RI 02818
33aNPI1942370234assigned 11/08/2006
28Total paid$635K
24GClaims14,320
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Rhode Island

Rank by total paid#4 of 13
Median peer was paid$280K
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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018330$9K
2019549$16K
20201,460$50K
20211,633$53K
20223,015$144K
20234,533$235K
2024incomplete2,800$128K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87428 29% 2,833 2,731 $184K
71046 Radiologic examination, chest; 2 views 15% 2,273 2,135 $98K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 9.0% 1,383 1,345 $57K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7.4% 714 688 $47K
73630 6.2% 429 410 $39K
73610 5.4% 366 356 $35K
87086 Culture, bacterial; quantitative colony count, urine 5.0% 1,916 1,774 $31K
87081 4.7% 1,618 1,486 $30K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 3.7% 315 252 $24K
87077 2.0% 509 479 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.6% 204 199 $10K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.5% 221 210 $9K
22 more codes
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.4% 221 $9K
87088 1.4% 381 $9K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1.1% 14 $7K
87186 1.0% 287 $7K
73130 <1% 43 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 157 $3K
73110 <1% 27 $3K
80053 Comprehensive metabolic panel <1% 84 $2K
86317 <1% 42 $2K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 28 $2K
73562 <1% 13 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 37 $1K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 60 $1K
87660 <1% 26 $959.04
87480 <1% 26 $959.04
87469 <1% 14 $921.20
87484 <1% 14 $921.20
99203 Doctor's office visit, new patient (routine) <1% 12 $823.32
87510 <1% 13 $466.40
87486 <1% 14 $453.32
87581 <1% 14 $453.32
87015 <1% 12 $187.73

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.