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    OpenPayerNPI Medicare & MedicaidAnchor Medical Associates
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    Anchor Medical Associates — Billing Profile & Reimbursement Data

    NPI 1205832029 · Lincoln, RI · General Practice Physician

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    Anchor Medical Associates is a general practice physician provider located in Lincoln, Rhode Island. This profile covers 0 Medicare and 48 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 TypeOrganization
    OrganizationAnchor Medical Associates
    Address1 Commerce St Ste 100
    CityLincoln
    StateRI
    ZIP02865
    TaxonomyGeneral Practice Physician
    NPI EnumeratedJune 27, 2005

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

    Payer SourceTotal Paid
    Medicaid$2.9M
    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.

    48 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…23,970$60$1.3M
    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…11,840$70$864.5K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.5,210$20$109.4K
    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…1,320$50$68.6K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.3,760$20$67.7K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.730$80$58K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.540$100$52.5K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…630$80$49.5K
    92552The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.1,760$20$38.7K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…810$50$37.9K

    Showing 1–10 of 48

    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

    48 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93303The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…31070$310$116.6K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…736750330$70$92.5K
    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…271,730220$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…132,050300$50$72.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…11616090$110$54.6K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…47190270$40$51K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…40190160$90$39.1K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…66160160$80$39K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.11929060$110$33.5K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.29190110$90$32K

    Showing 1–10 of 48

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert CohenRIInternal Medicine Physician$33.4K$2.4K
    Heidi DorrisRIInternal Medicine Physician$22.1K$5.5K

    Nearby Providers

    Other providers in the same ZIP code as Anchor Medical Associates, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Seven Hills Rhode Island IncRIDevelopmentally Disabled Services Day Training Agency$0$84.1M
    Fellowship Health Resources, IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$49.1M
    Seven Hills Rhode Island IncRIMulti-Specialty Clinic/Center$0$31M
    Seven Hills Rhode Island IncRIIn Home Supportive Care Agency$0$22M
    Mohammad SuhailRIInternal Medicine Physician$126.3K$16M
    Seven Hills Rhode Island IncRIMulti-Specialty Clinic/Center$0$9.8M
    Caregivers Ri, LLCRIHome Health Agency$0$8.5M
    Epoch Sleep Centers, LLCRISleep Disorder Diagnostic Clinic/Center$88.3K$3.8M
    Golden Roads Adult Day Center LLCRIAdult Day Care Clinic/Center$0$2.3M
    Town Of Lincoln Public SchoolsRILocal Education Agency (LEA)$0$2.1M

    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
    Anchor Medical Associates — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island