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NPI 1700883055 · Providence, RI · Internal Medicine Physician
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Richard Ruggieri is a internal medicine physician provider located in Providence, Rhode Island. This profile covers 19 Medicare and 8 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 | Individual |
| Organization | Richard Ruggieri |
| Address | 160 Wayland Ave |
| City | Providence |
| State | RI |
| ZIP | 02906 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | July 1, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $300.5K |
| Medicare | $102.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 430 | $50 | $21.8K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 400 | $50 | $20.9K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 210 | $80 | $17.5K |
| 99213 | The 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… | 340 | $40 | $14.7K |
| G0444 | Annual depression screening, 5 to 15 minutes | 410 | $20 | $7.8K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 70 | $60 | $3.6K |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 20 | $140 | $2.6K |
| 99305 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 20 | $100 | $2.2K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 50 | $40 | $2.2K |
| 99204 | The 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… | 20 | $110 | $2K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 54 | 120 | 160 | $70 | $21.6K |
| 99214 | 113 | 1,950 | 100 | $80 | $11.7K |
| 99308 | 56 | 110 | 70 | $50 | $10.7K |
| G0439 | 1 | 450 | 60 | $100 | $7.7K |
| 99213 | 175 | 1,950 | 70 | $60 | $7.4K |
| 99305 | 26 | 40 | 40 | $100 | $6.7K |
| 99204 | 525 | 740 | 30 | $110 | $4.6K |
| 99348 | 24 | 30 | 60 | $50 | $3.7K |
| 99496 | 34 | 40 | 20 | $170 | $2.9K |
| 99442 | 175 | 220 | 20 | $60 | $2.6K |
Showing 1–10 of 19
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T2046 | Hospice long term care, room and board only; per diem | 60 | $3,510 | $224.9K |
| 99214 | The 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… | 650 | $70 | $46.4K |
| 99213 | The 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… | 420 | $50 | $21.8K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 50 | $90 | $4.3K |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 200 | $10 | $1.2K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 10 | $80 | $1.1K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 130 | $10 | $660 |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 10 | $10 | $170 |
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
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T2046 | Hospice long term care, room and board only; per diem | 23 | 30 | 330 | $1,280 | $6.5M |
| 99214 | The 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… | 484 | 1,730 | 220 | $70 | $75.2K |
| 99213 | The 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… | 877 | 2,050 | 300 | $50 | $72.3K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 96 | 240 | 70 | $10 | $37.7K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 60 | 120 | 50 | $70 | $9.9K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 115 | 150 | 50 | $70 | $9.1K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 445 | 500 | 90 | $10 | $8.5K |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 53 | 190 | 70 | $10 | $2.6K |
Other providers in the same ZIP code as Richard Ruggieri, 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 |
| Providence Interventional Associates Ii LLC | RI | Ambulatory Surgical Clinic/Center | $1.9M | $8.3K |
| 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 |
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