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NPI 1497220412 · Providence, RI · Ambulatory Surgical Clinic/Center
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Providence Interventional Associates Ii LLC is a ambulatory surgical clinic/center provider located in Providence, Rhode Island. This profile covers 14 Medicare and 1 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 | Providence Interventional Associates Ii LLC |
| Address | 100 Highland Ave Ste 100 |
| City | Providence |
| State | RI |
| ZIP | 02906 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 5, 2018 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.9M |
| Medicaid | $8.3K |
PROVIDENCE INTERVENTIONAL ASSOCIATES II LLC operates as an Ambulatory Surgical Clinic/Center with a clear procedural focus on dialysis circuit imaging and endovascular interventions; its Medicare billing is heavily concentrated in angiography and dialysis-access intervention codes such as 36902, 36905, and 36906, and the practice generated $1.9M in Medicare revenue overall. The top Medicare procedures reflect both diagnostic angiography and therapeutic work (angioplasty, thrombectomy, stent placement), indicating a service line built around maintenance and salvage of dialysis access rather than general outpatient surgery.
Revenue concentration on Medicare is extreme: the precomputed top 3 Medicare codes account for 69.3% of the provider's Medicare revenue, with 36902 alone accounting for $768.9K (40.4% of Medicare revenue). This level of concentration signals that the clinic’s business model and revenue depend primarily on a small set of dialysis-access interventional procedures rather than a broad mix of outpatient services.
Payer mix is effectively single-payer dominant: Medicare revenue of $1.9M vastly exceeds Medicaid revenue of $8.3K, and Medicaid billing is negligible by scale. On Medicaid the provider’s entire reported activity is limited to 36902 (45 claims, $8.3K, 100.0% of its Medicaid revenue), indicating virtually all payer volume and revenue are driven by Medicare.
On national competitive standing for its primary procedure, 36902 the practice is a high-volume outlier: 36902 ranks #27 of 1666 providers nationally and is labeled an "extreme outlier, far above typical national volume for this code." This positions the provider as a national-scale contributor for dialysis circuit angiography within Medicare, which likely attracts referrals for complex or recurrent access issues.
Other procedure-level percentiles show pockets of concentrated volume in catheter management: 36589 (removal of tunneled CVAD) appears as an "extreme outlier" (rank #13 of 1598, 99th percentile) and 36581 (replacement of tunneled CVA catheter) is "notably above typical" (rank #22 of 462, 95th percentile). These elevated ranks for catheter placement/removal codes reinforce the clinical profile of high throughput in vascular access maintenance and suggest a complementary procedural stream alongside angioplasty/thrombectomy.
Despite the provider’s national prominence on a few dialysis-access codes, several other commonly billed interventional codes (36905, 36906, 36903, C7513) are described as "typical, unremarkable volume" in their respective percentiles, indicating the operation is specialized but not uniformly dominant across all related procedure types. This pattern implies concentrated expertise with selective scalability: exceptional volume on a signature procedure (36902) paired with routine participation in adjacent interventions.
The practice has an NPI enumeration date of 2018-10-05 (~8 years ago), showing it is an established mid-tenure ambulatory provider. Given the concentrated Medicare revenue ($1.9M) and the profile of high-percentile billing on core dialysis-access procedures, the business appears to serve as a focused regional interventional hub that relies on Medicare-driven dialysis-access work rather than broad Medicaid caseloads.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36902 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize… | 420 | $1,820 | $768.9K |
| 36905 | Under fluoroscopic guidance (live X–rays that can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special… | 70 | $4,620 | $300.3K |
| 36906 | Under fluoroscopic guidance (live X–rays which can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special… | 30 | $8,630 | $250.3K |
| 36903 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize… | 30 | $5,410 | $178.6K |
| C7513 | Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of… | 110 | $920 | $103.7K |
| 36581 | This procedure is a complete replacement of a tunneled CVA catheter in cases of blockage, damage, or malfunction. | 80 | $1,140 | $88.8K |
| 37248 | Using an open incision or a percutaneous (small incision in the skin) approach, the provider places a balloon–tipped catheter into the lumen (interior) of a vein (except for the dialysis circuit) and… | 40 | $1,830 | $65.9K |
| 36558 | The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,… | 50 | $1,090 | $52.3K |
| 36901 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects intravenous contrast material to visualize and record images of… | 60 | $450 | $27.3K |
| 36589 | In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump. | 90 | $220 | $20.5K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 36902 | 2 | 10 | 420 | $990 | $290.6K |
| 36905 | 1 | 10 | 70 | $2,490 | $161.6K |
| 36906 | 1 | 10 | 30 | $4,510 | $130.8K |
| C7513 | 1 | 10 | 110 | $920 | $103.8K |
| 36903 | 1 | 10 | 30 | $2,830 | $93.5K |
| 36581 | 2 | 10 | 80 | $620 | $49K |
| 37248 | 1 | 10 | 40 | $1,030 | $37.3K |
| C7515 | 1 | 10 | 20 | $870 | $20.1K |
| 36901 | 2 | 10 | 70 | $260 | $18.9K |
| 36558 | 2 | 10 | 30 | $540 | $17.3K |
Showing 1–10 of 14
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36902 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize… | 50 | $180 | $8.3K |
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
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 36902 | The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize… | 3 | 10 | 60 | $140 | $41.9K |
Other providers in the same ZIP code as Providence Interventional Associates Ii LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Miriam Hospital | RI | General Acute Care Hospital | $0 | $138.6M |
| Family Service Of Rhode Island Inc. | RI | Taxi | $0 | $12M |
| Butler Hospital | RI | Psychiatric Hospital | $0 | $9.6M |
| Phoenix Houses Of New England, Inc. | RI | Substance Abuse Rehabilitation Facility | $0 | $7.3M |
| Thomas Mulvey | RI | Pediatric Dentistry | $0 | $6.3M |
| Silver Fern Practice, LLC | RI | Physical Therapist | $0 | $5M |
| Gaurav Gupta | RI | Ophthalmology Physician | $1.8M | $5.8K |
| Robert Eden | RI | Pediatrics Physician | $0 | $1.7M |
| Brian Ackerman | RI | Psychiatry Physician | $24.8K | $1.5M |
| Steven Hirsch | RI | Clinical Neuropsychologist | $0 | $1.2M |
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