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Medicare Rhode Island · CY2024

Who bills the most Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213) to Medicare in Rhode Island?

Medicare Part B FFS · CY2024 · as published by CMS
282
Billing groups
156,068
Named-group FFS services
$30,410,698
Named-group submitted charges
$195
Avg charge / service
$83
Avg allowed / service
28%
Top-5 concentration
5%
Independent share

282 physician groups billed Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213) to Medicare fee-for-service in Rhode Island in 2024; the top five named groups hold 28% of that volume, and independent (non-hospital-affiliated) groups deliver 5%.

99213 — Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole Rhode Island market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 40% of Medicare in Rhode Island; Medicare Advantage penetration 48% → 60% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers 99213 svcs Share*Phone
1 UNIVERSITY ORTHOPEDICS INC PROVIDENCERIORTHOPEDIC SURGERY 180 13,198 5.6% (401) 457-1500
2 AFFINITY PHYSICIANS LLC. WARWICKRIPHYSICIAN ASSISTANT 719 10,955 4.7%
3 COASTAL MEDICAL PHYSICIANS INC EAST PROVIDENCERIINTERNAL MEDICINE 228 7,333 3.1% (800) 508-4908
4 ORTHOPEDICS RHODE ISLAND INC WARWICKRIPHYSICIAN ASSISTANT 124 6,895 2.9% (401) 777-7000
5 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVERRINURSE PRACTITIONER 868 5,886 2.5% (508) 973-5919
6 ASPIRE DERMATOLOGY LLC MIDDLETOWNRIDERMATOLOGY 21 5,749 2.5% (401) 239-1800
7 LIFESPAN PHYSICIAN GROUP INC PROVIDENCERIPHYSICIAN ASSISTANT 947 5,459 2.3% (401) 793-9172
8 ROBERT K DYER MD DERMATOLOGY LLC EAST GREENWICHRIPHYSICIAN ASSISTANT 12 5,022 2.1%
9 SILVER SPRING HEALTH CARE MANAGEMENT INC WAKEFIELDRINURSE PRACTITIONER 132 4,561 1.9% (401) 788-8780
10 MEDICAL ASSOCIATES OF RI, INC. BRISTOLRIINTERNAL MEDICINE 33 3,583 1.5% (401) 253-8900
11 RHODE ISLAND HOSPITAL PROVIDENCERINURSE PRACTITIONER 416 3,506 1.5% (401) 444-3777
12 NORTHEAST MEDICAL GROUP INC NEW HAVENRIPHYSICIAN ASSISTANT 1380 3,094 1.3%
13 RHODE ISLAND FOOT CARE, INC. PAWTUCKETRIPODIATRY 9 2,849 1.2% (401) 305-5088
14 RI EAR NOSE AND THROAT PHYSICIANS INC PROVIDENCERIOTOLARYNGOLOGY 8 2,433 1.0% (401) 728-0140
15 PROSPECT CHARTERCARE PHYSICIANS LLC CRANSTONRIINTERNAL MEDICINE 71 2,367 1.0% (401) 944-6889
16 COASTAL DERM AND COSMETIC CENTER, INC CRANSTONRIDERMATOLOGY 6 2,300 1.0% (401) 943-0761
17 SKINPROS, LLC PROVIDENCERIPHYSICIAN ASSISTANT 8 2,263 1.0% (401) 272-2724
18 DERMATOLOGY PROFESSIONALS INC EAST GREENWICHRIDERMATOLOGY 19 2,054 0.9% (401) 885-7546
19 VMD PRIMARY PROVIDERS OF RHODE ISLAND PC CUMBERLANDRIPHYSICIAN ASSISTANT 54 1,962 0.8% (401) 658-2020
20 CARDIOVASCULAR INSTITUTE OF NEW ENGLAND PC LINCOLNRICARDIOVASCULAR DISEASE (CARDIOLOGY) 15 1,811 0.8% 4014649751109
21 REFOCUS EYE HEALTH OF RI, LLC PROVIDENCERIOPHTHALMOLOGY 17 1,697 0.7% (401) 272-2020
22 ENT AND ALLERGY INC WARWICKRIOTOLARYNGOLOGY 8 1,347 0.6% (401) 921-5800
23 RHODE ISLAND DERMATOLOGY AND COSMETIC CENTER LLC LINCOLNRIPHYSICIAN ASSISTANT 7 1,322 0.6%
24 NORTHEAST DERMATOLOGY ASSOCIATES PC NORTH ANDOVERRIPHYSICIAN ASSISTANT 82 1,315 0.6% (978) 691-5690
25 THE MIRIAM HOSPITAL PROVIDENCERICARDIOVASCULAR DISEASE (CARDIOLOGY) 188 1,307 0.6% (401) 793-7191
26 UNIVERSITY GASTROENTEROLOGY, LLC PROVIDENCERIGASTROENTEROLOGY 100 1,300 0.6% (401) 421-8800
27 ENT ASSOCIATES OF WESTERLY, LTD. WESTERLYRIOTOLARYNGOLOGY 3 1,237 0.5% 4015962033104
28 UNIVERSITY OTOLARYNGOLOGY-HEAD AND NECK SURGERY, INC. EAST GREENWICHRIOTOLARYNGOLOGY 19 1,147 0.5% (401) 885-8484
29 COASTAL RHEUMATOLOGY PC INC WESTERLYRIRHEUMATOLOGY 2 1,116 0.5% (401) 348-2180
30 DAVID S POMERANTZ MD INC PAWTUCKETRIDERMATOLOGY 4 1,081 0.5% (401) 728-6990
31 HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC STORRSRIPHYSICIAN ASSISTANT 1493 1,074 0.5% (860) 724-2579
32 COASTAL FOOT AND ANKLE INC MIDDLETOWNRIPODIATRY 2 1,038 0.4% (401) 849-2157
33 BROWN DERMATOLOGY INC PROVIDENCERIDERMATOLOGY 29 1,034 0.4% (401) 444-7959
34 SOUTH COUNTY FOOT AND ANKLE, INC. WARWICKRIPODIATRY 5 952 0.4% (401) 354-7966
35 COASTLINE FOOT AND ANKLE SPECIALISTS LLC EAST LYMERIPODIATRY 4 899 0.4% (860) 739-1944
36 BROWN MEDICINE RIVERSIDERIINTERNAL MEDICINE 224 899 0.4% (401) 649-4010
37 GARDEN CITY TREATMENT CENTER, INC. CRANSTONRIEMERGENCY MEDICINE 6 876 0.4% 401946240020
38 FOOT AND ANKLE INSTITUTE OF NEW ENGLAND WARWICKRIPODIATRY 2 875 0.4% (401) 738-7750
39 OCEAN STATE MEDICAL, LLC JOHNSTONRIINTERNAL MEDICINE 6 854 0.4% (401) 272-3410
40 ATWOOD MEDICAL ASSOCIATES LTD JOHNSTONRIINTERNAL MEDICINE 23 804 0.3% (401) 272-1900
41 CHARLES M COLLINS MD LTD MIDDLETOWNRIOPTOMETRY 4 792 0.3% (401) 847-1383
42 KOCH EYE ASSOCIATES LLP WARWICKRIOPTOMETRY 27 786 0.3% (401) 738-4800
43 BROWN VISION CARE, INC EAST PROVIDENCERIOPTOMETRY 5 647 0.3%
44 DIABETES AND ENDOCRINOLOGY ASSOCIATES, INC. PROVIDENCERIENDOCRINOLOGY 5 636 0.3% (401) 351-7100
45 ATMED TREATMENT CENTER, INC. JOHNSTONRINURSE PRACTITIONER 11 632 0.3% (401) 273-9400
46 STURDY HEALTH INC ATTLEBORORINURSE PRACTITIONER 196 614 0.3% (508) 222-3200
47 UNIVERSITY INTERNAL MEDICINE,INC PAWTUCKETRIPHYSICIAN ASSISTANT 7 603 0.3% (401) 725-4700
48 RI RHEUMATOLOGY LLC CRANSTONRIFAMILY PRACTICE 2 592 0.3% (401) 563-9825
49 VISION ASSOCIATES INC WOONSOCKETRIOPTOMETRY 5 577 0.2% (401) 769-2755
50 SALVATORE J. LOPORCHIO, M.D., LTD CRANSTONRIOPHTHALMOLOGY 2 556 0.2% (401) 946-8011
51 PRIMA CARE, PC FALL RIVERRINURSE PRACTITIONER 220 546 0.2%
52 PROSPECT CHARTERCARE SJHSRI LLC LINCOLNRICLINICAL SOCIAL WORKER 34 545 0.2% (401) 334-3830
53 RHODE ISLAND FOOT AND ANKLE INC. CRANSTONRIPODIATRY 3 544 0.2% (401) 946-9933
54 SOUTHERN NEW ENGLAND HEALTHCARE FOR WOMEN, LLC PAWTUCKETRIOBSTETRICS/GYNECOLOGY 28 532 0.2% (401) 724-0600
55 TODER RHEUMATOLOGY AND OSTEOPOROSIS CENTER, P.C. JOHNSTONRIRHEUMATOLOGY 2 530 0.2% (401) 421-6011
56 PAMELA J. CONNORS, MD, PC WESTERLYRIGASTROENTEROLOGY 2 528 0.2% 4013487010202
57 FINDLEY DERMATOLOGY, LLC EAST PROVIDENCERIPHYSICIAN ASSISTANT 4 522 0.2% (401) 415-8586
58 NORTH SHORE-LIJ MEDICAL PC MANHASSETRIPHYSICIAN ASSISTANT 6294 497 0.2%
59 WATERBURY PODIATRY CONSULTANTS WATERBURYRIPODIATRY 2 493 0.2% (203) 753-2048
60 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTONRIPHYSICIAN ASSISTANT 2942 476 0.2% (617) 732-5500
61 SOUTHWESTERN VERMONT MEDICAL CENTER, INC BENNINGTONRINURSE PRACTITIONER 178 467 0.2% (802) 440-4077
62 SPECS EYECARE INC MIDDLETOWNRIOPTOMETRY 3 464 0.2% (401) 846-1620
63 DR. DAVID W. FERRIS AND ASSOCIATES INC WARWICKRIOPTOMETRY 3 446 0.2% (401) 732-2350
64 GREATER BOSTON UROLOGY LLC FRAMINGHAMRIUROLOGY 42 444 0.2%
65 HEALTHADVISORS LLC LINCOLNRIPHYSICIAN ASSISTANT 13 427 0.2% (401) 467-3115
66 MINUTECLINIC DIAGNOSTIC OF RHODE ISLAND LLC WOONSOCKETRINURSE PRACTITIONER 22 410 0.2% (866) 389-2727
67 GREENWICH PODIATRY GROUP LLC EAST GREENWICHRIPODIATRY 2 408 0.2% (401) 884-2821
68 ALLERGY AND ASTHMA CENTER OF PROVIDENCE EAST PROVIDENCERIALLERGY/IMMUNOLOGY 3 408 0.2% (401) 331-8426
69 BOSTON NEUROBEHAVIORAL ASSOCIATES, LLC NEW BEDFORDRIPHYSICIAN ASSISTANT 162 394 0.2% (508) 817-5129
70 VASCULAR CARE GROUP LLC HYANNISRIVASCULAR SURGERY 27 391 0.2% (508) 775-1984
71 OPHTHALMIC SURGEONS, LTD JOHNSTONRIOPHTHALMOLOGY 5 387 0.2% (401) 272-2110
72 DARTMOUTH DERMATOLOGY ASSOCIATES, PC DARTMOUTHRIDERMATOLOGY 9 378 0.2% (508) 998-1994
73 KANSAS CITY SKIN AND CANCER CENTER LLC KANSAS CITYRIPHYSICIAN ASSISTANT 15 361 0.2% (816) 584-8100
74 VISION CARE ASSOCIATES, LTD. WESTERLYRIOPHTHALMOLOGY 3 359 0.2% (401) 596-2020
75 COASTAL ORTHOPEDIC ASSOCIATES INC BEVERLYRIORTHOPEDIC SURGERY 18 355 0.2% (978) 927-3040
76 GARDEN CITY EYECARE INC CRANSTONRIOPTOMETRY 6 354 0.2% (401) 943-8151
77 WOMEN'S INTERNAL MEDICINE INC. EAST GREENWICHRIINTERNAL MEDICINE 5 336 0.1% 40188400205
78 LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC DARTMOUTHRIPHYSICIAN ASSISTANT 434 331 0.1% (508) 996-3991
79 LOUIS KUCHNIR MD PC MARLBOROUGHRIDERMATOLOGY 17 330 0.1% 5084857779857779
80 RICHARD J RUGGIERI MD INC PROVIDENCERIINTERNAL MEDICINE 3 326 0.1% (401) 521-1221
81 CONVENIENTMD - FFS UC LLC BELLINGHAMRIPHYSICIAN ASSISTANT 399 322 0.1% (774) 295-4355
82 LEPOER PODIATRY, INC. PROVIDENCERIPODIATRY 2 320 0.1% (401) 453-2000
83 BROWN UROLOGY, INC. PROVIDENCERIUROLOGY 30 308 0.1% (401) 272-7799
84 PULMONARY AND SLEEP MEDICINE ASSOCIATES INC DARTMOUTHRIPHYSICIAN ASSISTANT 5 305 0.1% (508) 998-3041
85 ALFRED A PAUL, MD AND LIN CHOU, MD, INC. PAWTUCKETRIOPHTHALMOLOGY 2 304 0.1% (401) 728-9350
86 ADVANCED PSYCH SERVICES LLC WORCESTERRINURSE PRACTITIONER 20 288 0.1% (508) 753-3220
87 GIULIO G DIAMANTE MD INC JOHNSTONRIOPTOMETRY 4 286 0.1% (401) 521-3606
88 FAMILY HEALTH AND SPORTS MEDICINE LLC CRANSTONRIFAMILY PRACTICE 4 282 0.1% (401) 943-6910
89 SNOKIDNEY PLLC EVERETTRINEPHROLOGY 11 278 0.1% (425) 339-5413
90 SURGICAL AND COSMETIC DERMATOLOGY OF RHODE ISLAND LLC FALL RIVERRIPHYSICIAN ASSISTANT 3 278 0.1% (401) 751-7546
91 THRIVE BEHAVIORAL HEALTH INC WARWICKRIMENTAL HEALTH COUNSELOR 37 276 0.1% (401) 691-6000
92 DUKE HEALTH INTEGRATED PRACTICE INC DURHAMRIPHYSICIAN ASSISTANT 3051 273 0.1% (919) 684-8111
93 MDRI LLC EAST GREENWICHRINURSE PRACTITIONER 13 268 0.1% 4013980288105
94 ATLANTIC FAMILY EYE CARE INC WOONSOCKETRIOPTOMETRY 5 265 0.1% (401) 765-5430
95 AEG RHODE ISLAND PROFESSIONAL PC PAWTUCKETRIOPTOMETRY 9 262 0.1% (401) 723-9540
96 ANGELL STREET PSYCHIATRY LTD PROVIDENCERIPHYSICIAN ASSISTANT 9 250 0.1% (401) 274-8777
97 DAVID M. COLANNINO, DPM, INC. SMITHFIELDRIPODIATRY 3 247 0.1% (401) 949-3220
98 DUQUETTE FAMILY EYE CARE INC NORTH SMITHFIELDRIOPTOMETRY 4 242 0.1% (401) 769-6323
99 THUNDERMIST HEALTH CENTER WOONSOCKETRINURSE PRACTITIONER 173 241 0.1% (401) 767-4100
100 EYE HEALTH ASSOCIATES OF RHODE ISLAND INC MIDDLETOWNRIOPHTHALMOLOGY 5 233 0.1% (401) 845-2020

*Share of Rhode Island's disclosed Medicare-FFS services for 99213, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 99213 in Rhode Island — including groups registered elsewhere ("City" is each group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group.

How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →