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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMofoluso Agbelese
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    Mofoluso Agbelese — Billing Profile & Reimbursement Data

    NPI 1194178558 · Providence, RI · Family Nurse Practitioner

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    Mofoluso Agbelese is a family nurse practitioner 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMofoluso Agbelese
    Address239 Cranston St
    CityProvidence
    StateRI
    ZIP02907
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJuly 20, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$394K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…5,020$40$215.6K
    99214The 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…1,180$60$66.2K
    99395The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.640$60$37.1K
    99212The 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,…860$30$26.5K
    T1015Clinic visit/encounter, all-inclusive140$160$23.2K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.1,040$10$8.3K
    99051The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.150$20$3.5K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…60$60$3.2K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.50$60$3.1K
    99442N/A80$30$2.2K

    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.

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

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive71120400$130$896.9K
    99214The 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…2961,730220$70$75.2K
    99213The 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…1002,050300$50$72.3K
    82962Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…5450110$60$42K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…140210100$20$31.6K
    99212The 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,…6450090$50$24.9K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…120170160$50$23.8K
    87426The 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,…137150120$30$16.4K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.5812050$70$9.9K
    99395The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.715050$70$9.1K

    Showing 1–10 of 22

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mofoluso Agbelese, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Blackstone Valley Community Health CareRIFederally Qualified Health Center (FQHC)$0$14.2M
    The Providence Community Health Centers, Inc.RIFederally Qualified Health Center (FQHC)$0$13.4M
    Blackstone Valley Community Health Care, Inc.RIFederally Qualified Health Center (FQHC)$0$12.4M
    The Providence Community Health Centers, Inc.RIFederally Qualified Health Center (FQHC)$0$8.3M
    Paul CastaldiRIClinical Social Worker$0$5.2M
    Beata NelkenRIPediatrics Physician$0$4.2M
    Erica KnarrRIDentist$0$3.5M
    Payal SudILClinical Social Worker$66.6K$3.2M
    Raj PandeRIDentist$0$2.1M
    Steven LoweRIDentist$0$1.7M

    Nearby Providers

    Other providers in the same ZIP code as Mofoluso Agbelese, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Independence Health Services, LLCRIHome Health Agency$0$40.4M
    Haigh Ventures, IncRIHome Health Agency$0$28.9M
    Elmwood Adult Day Health Care CenterRIAdult Day Care Clinic/Center$0$13.8M
    Abraham Home Care Provider LLCRIIn Home Supportive Care Agency$0$11.7M
    Jammat Housing And Community Development CorporationRIMental Illness Community Based Residential Treatment Facility$0$8.7M
    Saint Elizabeth Assisted Living, L.P.RIAssisted Living Facility$0$5M
    Raising Hope, IncRIHome Health Agency$0$4.9M
    Susan HartRIAddiction Medicine (Internal Medicine) Physician$0$3.9M
    Victa LLCRIAddiction Medicine (Internal Medicine) Physician$57.6K$3.7M
    Providence Physical Therapy Associates, Inc.RIPhysical Therapy Clinic/Center$0$3.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Mofoluso Agbelese — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island