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NPI 1174690887 · Providence, RI · Clinical Medical Laboratory
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State Of Rhode Island is a clinical medical laboratory provider located in Providence, Rhode Island. This profile covers 3 Medicare and 10 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 | Organization |
| Organization | State Of Rhode Island |
| Address | 50 Orms St |
| City | Providence |
| State | RI |
| ZIP | 02904 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | November 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $6.4M |
| Medicare | $570 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87116 | The lab analyst performs a culture using material from any source and identifies any isolated tubercle, which is a tuberculosis–causing bacterium, or other acid–fast bacilli, called AFB, to the least… | 30 | $10 | $280 |
| 87015 | The lab analyst performs a concentration procedure to examine or test a specimen for an infectious agent. | 30 | $10 | $180 |
| 87206 | The analyst performs a technical lab test for bacteria, fungi, parasites, viruses, or cell types using fluorescent stain, acid fast stain, or both. | 30 | $10 | $130 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 70,590 | $30 | $1.9M |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 69,620 | $30 | $1.9M |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 47,890 | $20 | $862K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 20,310 | $30 | $507.9K |
| 83655 | The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure. | 48,900 | $10 | $489K |
| 86780 | The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Treponema pallidum, a spiral shaped bacteria called a spirochete, that causes syphilis. | 37,240 | $10 | $372.4K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by… | 4,940 | $60 | $286.3K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 3,750 | $30 | $123.8K |
| 86592 | The lab analyst performs a test to detect the presence of syphilis–related antibodies in patient specimens using antigen tests such as rapid plasma reagin, called RPR; automated reagin test, called… | 1,030 | $1 | $3.1K |
| 86803 | Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody | 210 | $10 | $2.3K |
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
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 1 | 130 | 140 | $70 | $160.8K |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by… | 1 | 10 | 2,490 | $60 | $144.3K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 1 | 130 | 130 | $70 | $141.1K |
| 87389 | The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an… | 1 | 80 | 100 | $40 | $90.7K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 2 | 40 | 30 | $40 | $66.9K |
| 86803 | Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody | 26 | 70 | 80 | $30 | $63.1K |
| 86780 | The lab analyst performs an immunoassay to evaluate the patient’s serum for antibodies to Treponema pallidum, a spiral shaped bacteria called a spirochete, that causes syphilis. | 1 | 60 | 90 | $30 | $59.7K |
| 83655 | The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure. | 1 | 30 | 50 | $10 | $32.4K |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 2 | 80 | 90 | $60 | $26.6K |
| 86592 | The lab analyst performs a test to detect the presence of syphilis–related antibodies in patient specimens using antigen tests such as rapid plasma reagin, called RPR; automated reagin test, called… | 5 | 30 | 90 | $10 | $6.8K |
Other providers in the same ZIP code as State Of Rhode Island, ranked by combined Medicare and Medicaid revenue.
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