Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Rhode Island (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lifespan Physician Group, Inc. (NPI 1053782466)

Lifespan Physician Group, Inc. is a anesthesiology physician provider located in Providence, Rhode Island. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Lifespan Physician Group, Inc.
Address	593 Eddy St
City	Providence
State	RI
ZIP	02903
Taxonomy	Anesthesiology Physician
NPI Enumerated	October 12, 2015

Payer Source	Total Paid
Medicaid	$414.9K
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	1,490	$110	$161.4K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	410	$130	$54.9K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	180	$250	$44.6K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	160	$240	$37.4K
00104	The provider performs anesthesia services for a patient undergoing electroconvulsive therapy.	300	$120	$37.2K
00126	The provider performs anesthesia services for a patient undergoing procedures on the external, middle, and inner ear including biopsy and tympanotomy.	460	$60	$28.3K
01480	The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.	50	$230	$11.1K
00300	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system, muscles and nerves of head, neck, and posterior trunk.	60	$160	$10.2K
00402	The provider performs anesthesia services for a patient undergoing a procedure on the integumentary system on the extremities, anterior trunk and perineum, including reconstructive procedures on the…	50	$200	$9.6K
01938	The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the lumbar or sacral spine or spinal cord.	60	$70	$3.7K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

Claims Volume vs. Rhode Island Distribution

Lifespan Physician Group, Inc. — 3 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	12	40	70	$300	$116.1K
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…	1,830	2,050	300	$50	$72.3K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	2	10	180	$250	$71.7K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	6	10	190	$240	$63.1K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	2	20	120	$110	$50.6K
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	6	10	220	$130	$43.3K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	4	10	70	$160	$40.4K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	3	10	50	$110	$34.8K
00104	The provider performs anesthesia services for a patient undergoing electroconvulsive therapy.	1	10	170	$180	$30.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	106	150	470	$10	$19.2K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Miriam Hospital	RI	General Acute Care Hospital	$0	$138.6M
Edward Medeiros	RI	Nephrology Physician	$87.2K	$6.8M
Lifespan Physician Group, Inc.	RI	Urgent Care Clinic/Center	$0	$6.5M
Lifespan Physician Group, Inc.	RI	General Practice Physician	$0	$5.6M
Lifespan Physician Group, Inc.	RI	Psychiatry Physician	$0	$4.4M
Richard Lim	RI	Internal Medicine Physician	$52.2K	$3.4M
Elizabeth James	RI	Counselor	$0	$2.3M
Scott Greenberg	RI	Retina Specialist (Ophthalmology) Physician	$1.8M	$1.6K
Altin Pani	RI	Retina Specialist (Ophthalmology) Physician	$1.7M	$17K
Brian Savoie	RI	Retina Specialist (Ophthalmology) Physician	$1.4M	$55.1K

Lifespan Physician Group, Inc. — Billing Profile & Reimbursement Data

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Lifespan Physician Group, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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References