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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNewport Hospital
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    Newport Hospital — Billing Profile & Reimbursement Data

    NPI 1669561528 · Newport, RI · Psychiatric Hospital Unit

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    Newport Hospital is a psychiatric hospital unit provider located in Newport, Rhode Island. This profile covers 0 Medicare and 36 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
    OrganizationNewport Hospital
    Address11 Friendship St
    CityNewport
    StateRI
    ZIP02840
    TaxonomyPsychiatric Hospital Unit
    NPI EnumeratedOctober 11, 2006

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

    Payer SourceTotal Paid
    Medicaid$3.1M
    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.3,320$410$1.4M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.3,830$200$773.9K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.670$670$452.3K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…620$160$98.4K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…1,080$80$80.9K
    88175The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…800$60$47.4K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.550$80$42.4K
    87624The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.480$80$37.5K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.300$90$26.6K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…150$170$24.8K

    Showing 1–10 of 36

    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

    36 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.4150330$50$2.7M
    J2405Injection, ondansetron hydrochloride, per 1 mg13201,080$180$470.2K
    81514The lab analyst performs the technical lab tests on a vaginal fluid specimen for quantitative real–time amplification of DNA markers for six bacterial species listed in the code descriptor, and…410150$380$338.2K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.67280290$260$296.3K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.18340370$200$272.8K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.16290180$170$224.1K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.81060$190$213.7K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.62130140$70$160.8K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…4111070$70$157.8K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…2350450$70$152.4K

    Showing 1–10 of 36

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Newport HospitalRIGeneral Acute Care Hospital$0$15.8M
    Xiaoping ZhouVAAnatomic Pathology & Clinical Pathology Physician$968.4K$59.3K
    Kristin LombardiRIPediatric Cardiology Physician$0$333.6K
    Keith-austin ScarfoRIAnesthesiology Physician$56.4K$273.9K
    Laert RushaRIPain Medicine Physician$33.7K$285.7K
    Claudia WheelerRIPhysical Medicine & Rehabilitation Physician$244.6K$0
    Leslie Robinson-bostomRIDermatology Physician$140.3K$79.8K
    Brian McmillenRIAnatomic Pathology & Clinical Pathology Physician$177.3K$25K
    Gladys TelangRIDermatology Physician$76.6K$103.2K
    Mirela StancuVAAnatomic Pathology & Clinical Pathology Physician$51.6K$104.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James L Maher CenterRIMulti-Specialty Clinic/Center$0$52.5M
    East Bay Communtiy Action ProgramRICase Management Agency$0$4.9M
    Faith DrennonRIPediatric Dentistry$0$2.8M
    East Bay Community Action ProgramRIDental Clinic/Center$0$2M
    Jasma PatelRIDentist$0$1.9M
    Newport Public SchoolsRILocal Education Agency (LEA)$0$1.6M
    Charles StengelRIEmergency Medicine Physician$59K$870.4K
    City Of NewportRILand Ambulance$306K$580.6K
    St. Clare Home, Inc.RISkilled Nursing Facility$0$464.8K
    Deborah SaboyaRIClinical Social Worker$0$357.9K

    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
    1 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Newport Hospital — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island