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.

Prime Healthcare Services Landmark LLC (NPI 1699752923)

Key Findings

Field	Value
Entity Type	Organization
Organization	Prime Healthcare Services Landmark LLC
Address	115 Cass Ave
City	Woonsocket
State	RI
ZIP	02895
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 28, 2005

Payer Source	Total Paid
Medicaid	$26.2M
Medicare	$0

PRIME HEALTHCARE SERVICES LANDMARK LLC in WOONSOCKET, RI (General Acute Care Hospital) has been NPI-enumerated since 2005-12-28 (~21 years ago) and shows a clearly Medicaid-centric billing footprint: Total Medicaid revenue is $26.2M and there is no Medicare billing on file, indicating this profile should be treated as effectively single-payer (Medicaid) for analyses.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the precomputed top-three Medicaid codes (99283, 99284, 99285) account for 39.1% of this provider’s total Medicaid revenue. Those three codes individually report $2.4M (99283, 13.6%), $2.3M (99284, 13.1%), and $2.2M (99285, 12.4%) of Medicaid revenue, which together drive a large share of the $26.2M total.

The code mix and volumes indicate an ED-centric operation with heavy throughput: 99283 has 11.2K claims, 99284 has 10.2K claims, and 99285 has 9.3K claims, all with average paid/claim near the low-to-mid hundreds. The descriptive labels for these codes (low/moderate/high medical decision-making ED visits) plus the claim counts point to sustained emergency-care demand as a primary service line.

Competitive standing within Rhode Island for core ED services is strong: 99283 and 99284 both rank in the 98th percentile in-state (ranks #7 and #8 respectively), and 99285 ranks in the 97th percentile (rank #8), indicating this provider is among the highest-volume in-state performers for these ED codes. Additionally, 99281 ranks #1 of 12 providers in-state at the 100th percentile (notably above typical state volume), which suggests this hospital captures notable volume across the full spectrum of ED acuity.

Beyond E/M activity, the provider bills significant infusion and IV therapy services consistent with frequent acute treatments: 96374 (5.3K claims, $782.8K), 96365 (2.7K claims, $674.3K), 96361 (3.9K claims, $669.9K), and 96375 (3.7K claims, $505.9K) all appear in the top code list and rank at or above typical in-state volumes for their categories. These line items imply regular administration of IV medications and fluids consistent with emergency and observation care pathways.

A robust onsite laboratory and diagnostics capability is evident from high-volume lab and imaging codes: 85025 (17.5K claims, $1M), 80053 (10.9K claims, $837K), 93005 (6.4K claims, $476.7K), 71046 (5.4K claims, $533.4K), 84484 (4.6K claims, $318.8K), and 83690 (4.5K claims, $317.3K). These volumes and associated revenues are typical for an acute care hospital and support rapid diagnostic turnaround consistent with high ED throughput.

The provider also bills observation and procedural activity beyond immediate ED care—G0378 hospital observation service shows 1K claims for $441.8K and 11042 (debridement) reports $409.9K—indicating capacity to manage patients in observation status and perform common wound procedures. These non-E/M codes, while smaller contributors individually, reinforce a mix that includes short-term inpatient/observation services alongside ED operations.

Because there is no Medicare billing on file and Medicaid accounts for the full reported $26.2M, payer-mix analyses should treat this provider as effectively single-payer (Medicaid) in the available dataset. Coupled with the fact that the top three codes make up 39.1% of Medicaid revenue, financial exposure is concentrated in ED-related utilization and could be sensitive to changes in Medicaid policy, ED demand, or regional patient flow patterns.

Medicaid: Complete Services Breakdown

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

203 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The 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.	11,250	$220	$2.4M
99284	The 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.	10,220	$230	$2.3M
99285	The 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.	9,270	$240	$2.2M
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	17,480	$60	$1M
80053	The 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.	10,870	$80	$837K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5,290	$150	$782.8K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	2,700	$250	$674.3K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	3,900	$170	$669.9K
71046	In 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…	5,390	$100	$533.4K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	3,690	$140	$505.9K

Showing 1–10 of 203

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

Prime Healthcare Services Landmark LLC — 7 of 25 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

203 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	3	10	310	$100	$4.2M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	6	30	260	$60	$3.4M
G0378	Hospital observation service, per hour	7	10	1,220	$1,410	$2.9M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	12	50	330	$50	$2.7M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	6	10	360	$430	$1.1M
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	6	20	840	$210	$789.2K
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	5	10	120	$290	$535.1K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	7	20	660	$180	$475.3K
J2405	Injection, ondansetron hydrochloride, per 1 mg	4	20	1,080	$180	$470.2K
96367	The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…	6	10	140	$360	$452K

Showing 1–10 of 203

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohammad Suhail	RI	Internal Medicine Physician	$126.3K	$16M
Richard Lim	RI	Internal Medicine Physician	$52.2K	$3.4M
David Stoll	RI	Hematology & Oncology Physician	$22.4K	$1.4M
Prime Healthcare Services Landmark LLC	RI	Orthopaedic Surgery Physician	$0	$1.3M
Chandan Lakhiani	RI	Pediatrics Physician	$0	$1.3M
Eilean Attwood	RI	Obstetrics & Gynecology Physician	$0	$1.3M
Ambreen Ijaz	RI	Hematology & Oncology Physician	$29K	$1M
Nebyou Belay	RI	Child & Adolescent Psychiatry Physician	$3.2K	$997.5K
Steven Graff	RI	Orthopaedic Hand Surgery Physician	$67.7K	$798.6K
Maria Starakiewicz	RI	Pediatrics Physician	$0	$749.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Alliance	RI	Community/Behavioral Health Agency	$0	$46.4M
R.i.s.a.t., LLC	RI	Methadone Clinic	$306K	$21.6M
Thundermist Health Center	RI	Dental Clinic/Center	$0	$18.6M
Thundermist Health Center	RI	Federally Qualified Health Center (FQHC)	$0	$15.8M
Action Based Enterprises	RI	Developmentally Disabled Services Day Training Agency	$0	$15.2M
Woonsocket Education Department	RI	Local Education Agency (LEA)	$0	$9.5M
Woonsocket Housing Authority	RI	Assisted Living Facility	$0	$7M
Beata Nelken	RI	Pediatrics Physician	$0	$4.2M
Tmed Holdings, Inc.	RI	Durable Medical Equipment & Medical Supplies	$0	$3.8M
Maha Alamad	RI	General Practice Dentistry	$0	$3.5M

Prime Healthcare Services Landmark LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References