Rhode Island Health Group PC

Rhode Island Health Group PC was paid $82K by Medicaid between Nov 2020 and Jan 2023, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.

33Billing provider infoRHODE ISLAND HEALTH GROUP PC
NORTH SMITHFIELD, RI 02896

33aNPI1982216974assigned 08/20/2020

33bProvider typeInternal Medicine Physician

28Total paid$82K

24GClaims1,423

24DCodes billed8

24AFirst – last monthNov 2020 – Jan 2023

Compared with peers

Next to other Internal Medicine Physician providers in Rhode Island

Rank by total paid#93 of 386

Median peer was paid$15K

This provider vs. median5.3×

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
2020	100	$4.15
2021	555	$25K
2022	705	$52K
2023	63	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	57%	781	591	$47K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	38%	327	125	$31K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.5%	100	94	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.2%	22	15	$955.00
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	58	15	$630.76
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	13	13	$129.98
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	109	96	$112.26
81002		<1%	13	12	$27.69

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 officialCHAUDRY, MUHAMMAD (CHIEF EXECUTIVE OFFICER)