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    OpenPayerNPI Medicare & MedicaidP Canchis
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    P Canchis — Billing Profile & Reimbursement Data

    NPI 1518018811 · Johnston, RI · Internal Medicine Physician

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    P Canchis is a internal medicine physician provider located in Johnston, Rhode Island. This profile covers 11 Medicare and 20 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)

    FieldValue
    Entity TypeIndividual
    OrganizationP Canchis
    Address1524 Atwood Ave Ste 327
    CityJohnston
    StateRI
    ZIP02919
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 15, 2007

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

    Payer SourceTotal Paid
    Medicaid$921.1K
    Medicare$45.1K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…240$90$21.5K
    99443N/A100$90$9.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit40$130$5.6K
    99204The 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…30$120$2.9K
    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…40$70$2.5K
    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,…40$30$1.3K
    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).…70$10$650
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…60$10$510
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.30$20$400
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…10$30$390

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143841,950100$80$11.7K
    G043928945060$100$7.7K
    992131,3551,95070$60$7.4K
    9920438574030$110$4.6K
    99443811030$80$3.5K
    71046143150130$10$2.8K
    87426196030$30$1.5K
    830362619030$10$1.2K
    9300012038030$10$810
    87880257020$20$530

    Showing 1–10 of 11

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…7,960$70$533.5K
    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…3,820$50$175.7K
    99443N/A1,200$30$37.1K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.1,100$30$33.1K
    99203The 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…420$80$32.4K
    99358Report this service if the provider spends time in either preparation or evaluation of the outcome of treatment before or after a direct encounter with a patient.350$60$21.2K
    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,…630$30$19K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…1,130$10$15.8K
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…180$70$12.1K
    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).…1,990$10$11.9K

    Showing 1–10 of 20

    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

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.86240150$80$91.9K
    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…401,730220$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…1392,050300$50$72.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…9110090$100$70.7K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.89090$60$67.5K
    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…10216090$110$54.6K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…126130260$30$52K
    99204The 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…13730050$130$40.6K
    99203The 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…7035080$90$40.5K
    99358Report this service if the provider spends time in either preparation or evaluation of the outcome of treatment before or after a direct encounter with a patient.310380$80$38.9K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Atmed Treatment Center, Inc.RIInternal Medicine Physician$0$3.1M
    Melissa GreenbergRIPhysician Assistant$43.8K$790K
    Debra Dale-walekRIEmergency Medicine Physician$34.9K$318.8K
    Daniel ReganRIFamily Medicine Physician$44.2K$265K
    Ellen BradyRIFamily Nurse Practitioner$33.1K$23.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Comfort LLCRIHome Health Agency$0$18.7M
    The Journey To Hope, Health & Healing, IncRIMethadone Clinic$0$16.8M
    Tri-county Community Action AgencyRIFederally Qualified Health Center (FQHC)$0$7.4M
    Absolute Respiratory Care LLCRIOxygen Equipment & Supplies (DME)$0$6.4M
    Ocean State Behavioral Health, LLCRISubstance Use Disorder Rehabilitation Clinic/Center$0$5.6M
    Fredrick McmillenRIOrthodontics and Dentofacial Orthopedics Dentistry$0$4.9M
    Svetlo IncRIAdult Day Care Clinic/Center$0$4.8M
    Maulik KotdawalaRIGeneral Practice Dentistry$0$4.6M
    Barrett NordstromRIOrthodontics and Dentofacial Orthopedics Dentistry$0$3.9M
    The Autism ProjectRIVoluntary or Charitable Agency$0$3.1M

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Rhode Island Distribution
    P Canchis — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    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
    P Canchis — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island