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    OpenPayerNPI Medicare & MedicaidJohn Solomon
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    John Solomon — Billing Profile & Reimbursement Data

    NPI 1861529158 · North Smithfield, RI · Family Medicine Physician

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    John Solomon is a family medicine physician provider located in North Smithfield, Rhode Island. This profile covers 26 Medicare and 2 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
    OrganizationJohn Solomon
    Address594 Great Rd
    CityNorth Smithfield
    StateRI
    ZIP02896
    TaxonomyFamily Medicine Physician
    NPI EnumeratedFebruary 27, 2007

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

    Payer SourceTotal Paid
    Medicare$192.2K
    Medicaid$28K

    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.

    26 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…1,060$90$97.6K
    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…340$110$37.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit140$130$18.9K
    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…220$70$14.4K
    99442N/A80$60$4.6K
    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…50$90$4K
    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…70$50$3.4K
    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…20$90$2K
    10060The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…20$100$1.6K
    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…150$10$1.5K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    913228210070$140$18.5K
    9921441,950100$80$11.7K
    1700091100210$40$9.3K
    G04396045060$100$7.7K
    992133061,95070$60$7.4K
    9048013916090$40$5.8K
    99204474030$110$4.6K
    9920320658030$70$3.6K
    8750221020$90$2.9K
    906629022030$50$2.8K

    Showing 1–10 of 26

    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.

    2 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…270$90$25.5K
    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…20$160$2.4K

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…7791,730220$70$75.2K
    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…23530050$130$40.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lincoln Urgent Care Center, Inc.RIUrgent Care Clinic/Center$0$966.1K
    North Smithfield Urgent Care,llcRIInternal Medicine Physician$0$899.8K
    William SmithRIInternal Medicine Physician$34.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spectrum Neuro Behavioral Care LLCRICommunity/Behavioral Health Agency$0$4.4M
    North Smithfield Fire/rescue Service, IncRILand Ambulance$153.4K$138.6K
    Erik DingleyRIOptometrist$31.6K$224.5K
    Rhode Island Cvs Pharmacy, L.L.C.RIPharmacy$172.3K$0
    Fadi Al-bilbeisiRIInternal Medicine Physician$68.2K$70K
    Joseph DomenicoRIFoot & Ankle Surgery Podiatrist$102.3K$5.1K
    Thomas McgunigalRIPhysical Medicine & Rehabilitation Physician$36K$50.9K
    Dennis AumentadoRINeurology Physician$44.2K$0
    Michael LukeRISurgery Physician$13.4K$29.8K
    Kimberly WrightRIPhysical Therapist$38.7K$0

    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
    John Solomon — 2 of 23 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 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    John Solomon — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island