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    OpenPayerNPI Medicare & MedicaidMinuteclinic Diagnostic Of Rhode Island, LLC
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    Minuteclinic Diagnostic Of Rhode Island, LLC — Billing Profile & Reimbursement Data

    NPI 1649511841 · Woonsocket, RI · Family Nurse Practitioner

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    Minuteclinic Diagnostic Of Rhode Island, LLC is a family nurse practitioner provider located in Woonsocket, Rhode Island. This profile covers 0 Medicare and 24 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
    OrganizationMinuteclinic Diagnostic Of Rhode Island, LLC
    Address1054 Cass Ave
    CityWoonsocket
    StateRI
    ZIP02895
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMarch 13, 2013

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

    Payer SourceTotal Paid
    Medicaid$1.2M
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.16,180$20$242.8K
    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,…5,260$40$205.1K
    G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source9,320$20$195.8K
    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…2,060$70$150.1K
    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…1,370$70$99.8K
    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…2,010$50$96.2K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…2,190$40$96.2K
    99202The 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…1,030$50$49.6K
    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,…1,070$30$31.1K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.2,130$10$29.8K

    Showing 1–10 of 24

    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

    24 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.3240150$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…1701,730220$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…2982,050300$50$72.3K
    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.469090$60$67.5K
    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…18830050$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…2435080$90$40.5K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…58090$60$26.6K
    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,…5650090$50$24.9K
    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,…3150120$30$16.4K
    99202The 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…49050$60$13.8K

    Showing 1–10 of 24

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Minuteclinic Diagnostic Of Rhode Island, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David WarrowMDOphthalmology Physician$15.1M$8.3K
    Minuteclinic LLCMDFamily Nurse Practitioner$0$14.1M
    Allen HuMDOphthalmology Physician$8.9M$32.5K
    Slava KreynovichMDFamily Nurse Practitioner$150.3K$8.5K
    Shannon CoxMDNurse Practitioner$125.2K$0
    Shirley FrimpongVAFamily Nurse Practitioner$85K$0
    Matthew JamesRIFamily Nurse Practitioner$9.4K$62.8K
    Kristen LeizearMDFamily Nurse Practitioner$70.5K$0
    Melissa MarroccoMDFamily Nurse Practitioner$41.8K$0
    Elizabeth PateMDFamily Nurse Practitioner$38.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Minuteclinic Diagnostic Of Rhode Island, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Care AllianceRICommunity/Behavioral Health Agency$0$46.4M
    Prime Healthcare Services Landmark LLCRIGeneral Acute Care Hospital$0$26.2M
    R.i.s.a.t., LLCRIMethadone Clinic$306K$21.6M
    Thundermist Health CenterRIDental Clinic/Center$0$18.6M
    Thundermist Health CenterRIFederally Qualified Health Center (FQHC)$0$15.8M
    Action Based EnterprisesRIDevelopmentally Disabled Services Day Training Agency$0$15.2M
    Woonsocket Education DepartmentRILocal Education Agency (LEA)$0$9.5M
    Woonsocket Housing AuthorityRIAssisted Living Facility$0$7M
    Beata NelkenRIPediatrics Physician$0$4.2M
    Tmed Holdings, Inc.RIDurable Medical Equipment & Medical Supplies$0$3.8M

    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
    Minuteclinic Diagnostic Of Rhode Island, LLC — 5 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island