Loading...
NPI 1023647534 · Providence, RI · Surgical Physician Assistant
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Mary Reedy is a surgical physician assistant provider located in Providence, Rhode Island. This profile covers 12 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Mary Reedy |
| Address | 17 University Ave |
| City | Providence |
| State | RI |
| ZIP | 02906 |
| Taxonomy | Surgical Physician Assistant |
| NPI Enumerated | April 6, 2020 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $45.1K |
| Medicare | $24.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 130 | $60 | $7.9K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 70 | $90 | $6.2K |
| 73130 | In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand. | 70 | $30 | $1.8K |
| 20604 | In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa, typically the fingers or toes, and then uses the syringe attachment to the needle to… | 20 | $60 | $1.3K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 20 | $80 | $1.3K |
| 73110 | The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area. | 50 | $30 | $1.3K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 10 | $90 | $1K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 200 | $10 | $1K |
| 20606 | In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa, typically the temporomandibular, acromioclavicular, wrist, elbow, ankle, or… | 20 | $50 | $830 |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 30 | $20 | $620 |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 600 | $60 | $33.3K |
| 73130 | In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand. | 210 | $30 | $6K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 60 | $80 | $4.4K |
| 73110 | The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area. | 30 | $30 | $860 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 30 | $30 | $730 |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,265 | 1,730 | 220 | $70 | $75.2K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 749 | 2,050 | 300 | $50 | $72.3K |
| 73130 | In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand. | 16 | 30 | 240 | $40 | $20.3K |
| 73110 | The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area. | 20 | 30 | 160 | $40 | $16.9K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 5 | 10 | 190 | $20 | $2.1K |
Other providers in the same ZIP code as Mary Reedy, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Miriam Hospital | RI | General Acute Care Hospital | $0 | $138.6M |
| Family Service Of Rhode Island Inc. | RI | Taxi | $0 | $12M |
| Butler Hospital | RI | Psychiatric Hospital | $0 | $9.6M |
| Phoenix Houses Of New England, Inc. | RI | Substance Abuse Rehabilitation Facility | $0 | $7.3M |
| Thomas Mulvey | RI | Pediatric Dentistry | $0 | $6.3M |
| Silver Fern Practice, LLC | RI | Physical Therapist | $0 | $5M |
| Providence Interventional Associates Ii LLC | RI | Ambulatory Surgical Clinic/Center | $1.9M | $8.3K |
| Gaurav Gupta | RI | Ophthalmology Physician | $1.8M | $5.8K |
| Robert Eden | RI | Pediatrics Physician | $0 | $1.7M |
| Brian Ackerman | RI | Psychiatry Physician | $24.8K | $1.5M |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.