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 Smithfield LLC (NPI 1447698675)

Ocean State Urgent Care Center Of Smithfield LLC is a urgent care clinic/center provider located in Smithfield, Rhode Island. This profile covers 0 Medicare and 11 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 Smithfield LLC
Address	400 Putnam Pike
City	Smithfield
State	RI
ZIP	02917
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	June 10, 2013

Payer Source	Total Paid
Medicaid	$403.1K
Medicare	$0

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

11 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…	3,300	$60	$207.6K
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…	2,470	$40	$108.8K
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…	610	$60	$35.6K
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…	360	$40	$14.7K
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…	140	$90	$12.6K
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,…	320	$20	$7.6K
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.	540	$10	$7.5K
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.	560	$10	$5.6K
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.	110	$10	$1.5K
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,…	50	$30	$1.4K

Showing 1–10 of 11

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 Smithfield LLC — 0 of 11 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

11 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.	134	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…	100	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…	247	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…	91	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…	52	350	80	$90	$40.5K
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…	47	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,…	307	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,…	38	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…	13	90	50	$60	$13.8K
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.	33	250	90	$10	$5.7K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcoast Physicians Group, Inc.	MA	Family Medicine Physician	$0	$49.8M
Vmd Primary Providers Of Rhode Island PC	RI	Family Medicine Physician	$0	$780.7K
Pamela Bagdasian	RI	Physician Assistant	$32.5K	$617.3K
Kristen Haviland	RI	Family Nurse Practitioner	$7.4K	$410.7K
Linda Young	RI	Nurse Practitioner	$33.9K	$282.5K
Daniel Regan	RI	Family Medicine Physician	$44.2K	$265K
Neal Kelley	RI	Cardiovascular Disease Physician	$173.2K	$32K
Bartel Crisafi	RI	Family Medicine Physician	$101.9K	$63.2K
David Bica	RI	Family Medicine Physician	$145.8K	$10.5K
Darlene Males	RI	Family Nurse Practitioner	$17.3K	$137.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of Bristol County Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$27.7M
The Arc Of Bristol County, Inc	RI	Developmentally Disabled Services Day Training Agency	$0	$27M
The Arc Of Bristol County, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$10.3M
New England Home Therapies, Inc.	RI	Home Infusion Therapy Pharmacy	$0	$669.5K
Smithfield School Department	RI	Local Education Agency (LEA)	$0	$529K
John Corsi	RI	Internal Medicine Physician	$48.8K	$95.2K
Peter Brasch	RI	Ophthalmology Physician	$128.7K	$0
William Levin	RI	Cardiovascular Disease Physician	$116K	$6.1K
Dominic Roda	RI	Foot & Ankle Surgery Podiatrist	$105.1K	$5K
Nidhi Sharma	RI	Internal Medicine Physician	$76.5K	$2.2K

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

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Ocean State Urgent Care Center Of Smithfield 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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