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.

Ocean State Urgent Care Center Of Warwick, LLC (NPI 1093239519)

Ocean State Urgent Care Center Of Warwick, LLC is a urgent care clinic/center provider located in Warwick, Rhode Island. This profile covers 0 Medicare and 12 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	Ocean State Urgent Care Center Of Warwick, LLC
Address	1131 Warwick Ave
City	Warwick
State	RI
ZIP	02888
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	July 26, 2017

Payer Source	Total Paid
Medicaid	$460.6K
Medicare	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	2,310	$70	$154.8K
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…	740	$110	$83.1K
99203	The provider sees a new 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 provider…	1,120	$70	$83K
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…	1,630	$50	$74.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	720	$50	$33K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	350	$30	$9.2K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	770	$10	$8.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	360	$20	$7.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	230	$20	$3.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	80	$30	$2.5K

Showing 1–10 of 12

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

Ocean State Urgent Care Center Of Warwick, LLC — 1 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	100	240	150	$80	$91.9K
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…	147	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…	358	2,050	300	$50	$72.3K
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…	32	300	50	$130	$40.6K
99203	The provider sees a new 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 provider…	30	350	80	$90	$40.5K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	25	30	80	$90	$29K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	36	90	80	$30	$27.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	260	500	90	$50	$24.9K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	36	150	120	$30	$16.4K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	5	90	50	$60	$13.8K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcoast Physicians Group, Inc.	MA	Family Medicine Physician	$0	$49.8M
Regis Burlas	OH	Anesthesiology Physician	$9.5K	$1.3M
Nathan Rheault	CA	Family Medicine Physician	$97.3K	$30.6K
Matthew James	RI	Family Nurse Practitioner	$9.4K	$62.8K
Erica Demello	RI	Physician Assistant	$5.9K	$64.2K
Hannah Duncan	CO	Medical Physician Assistant	$40K	$0
Scott Wilson	RI	Internal Medicine Physician	$31.9K	$970
Meaghan Bechard	RI	Family Nurse Practitioner	$24.3K	$2.9K
Michael Simonetti	RI	Physician Assistant	$13.8K	$2.7K
Andre Covacha	RI	Physician Assistant	$11.9K	$840

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Your Choice Of Home Care LLC	RI	Home Health Agency	$0	$54.7M
Inner You LLC	RI	Clinical Social Worker	$0	$8.5M
Nash Corp	RI	Homemaker	$0	$2.3M
Rhode Island Parent Information Network, Inc	RI	Case Management Agency	$0	$1.6M
James Leroy	RI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.2M
Oes Home Of Ri,inc/ethan Place	RI	Assisted Living Facility	$0	$1.1M
Matthew Brennan	RI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$920.6K
Alternative Integrative Medicine, Inc	RI	Pain Medicine Physician	$0	$840.6K
Alexander Turchetta	RI	Clinical Psychologist	$0	$576.8K
Child And Family Psychiatry, Inc.	RI	Psychiatry Physician	$0	$471.3K

Ocean State Urgent Care Center Of Warwick, LLC — Billing Profile & Reimbursement Data

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Ocean State Urgent Care Center Of Warwick, LLC — 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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