Medicare Revenue Report Card 2026
Rhode Island
5K Medicare providers analyzed
One-Click LinkedIn Post
I just reviewed the 2026 Medicare Revenue Report Card for Rhode Island. Key findings: - Overall Grade: F - Estimated Missed Revenue: $923K - Low adoption of care management programs (CCM, RPM, BHI, AWV) The data comes directly from CMS public records — every medical practice can see exactly how much revenue they're leaving on the table. See the full Rhode Island report card:
https://npixray.com/reports/states/rhode-island
Total Providers
5K
in Rhode Island
Total Medicare Payment
$235.5M
Avg Payment / Provider
$48K
Est. Missed Revenue
$923K
across all providers
Care Management Program Adoption
How Rhode Island providers compare to the national average in adopting revenue-generating care management programs.
CCM
Chronic Care Management
$62/patient/mo potential revenue
RPM
Remote Patient Monitoring
$120/patient/mo potential revenue
BHI
Behavioral Health Integration
$50/patient/mo potential revenue
AWV
Annual Wellness Visits
$175/visit potential revenue
Rhode Island Trend Signals
Revenue per Provider
$48,293
-39.4% vs benchmark · national avg $79,744
Provider Market Share
0.4% of US
-79.3% vs benchmark · 4,876 providers
CCM Adoption
0.0%
-100.0% vs benchmark · national 2.4%
RPM Adoption
0.0%
-100.0% vs benchmark · national 1.1%
AWV Completion
0.0%
-100.0% vs benchmark · national 7.8%
E&M Coding Distribution
How Rhode Island providers distribute evaluation and management visits compared to the national benchmark. Higher 99214/99215 rates indicate thorough documentation and appropriate complexity coding.
99213
Level 3
33.0%
National: 31.2%
99214
Level 4
34.0%
National: 56.4%
99215
Level 5
33.0%
National: 9.3%
Top Specialties in Rhode Island
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 611 | $19K |
| Internal Medicine | 568 | $33K |
| Physical Therapist in Private Practice | 436 | $36K |
| Physician Assistant | 402 | $22K |
| Emergency Medicine | 252 | $38K |
| Family Practice | 181 | $30K |
| Optometry | 167 | $23K |
| Psychiatry | 148 | $21K |
| Diagnostic Radiology | 133 | $123K |
| Certified Registered Nurse Anesthetist (CRNA) | 113 | $9K |
| Licensed Clinical Social Worker | 95 | $13K |
| Orthopedic Surgery | 94 | $78K |
| Anesthesiology | 92 | $16K |
| Obstetrics & Gynecology | 87 | $7K |
| Chiropractic | 86 | $13K |
| Cardiology | 86 | $96K |
| Mass Immunizer Roster Biller | 77 | $97K |
| Podiatry | 72 | $78K |
| Neurology | 70 | $38K |
| Ophthalmology | 67 | $286K |
City Report Cards in Rhode Island
Providence
Warwick
Pawtucket
Cranston
East Providence
East Greenwich
Wakefield
Riverside
Woonsocket
Westerly
Johnston
Middletown
Newport
Lincoln
North Providence
Cumberland
Smithfield
North Kingstown
Bristol
West Warwick
Top 20 Providers in Rhode Island
Highest-volume Medicare providers by total payment.
| Provider | Patients | Medicare $ |
|---|---|---|
| Dominion Diagnostics, Llc | 8,643 | $4.8M |
| East Side Clinical Laboratory, Inc. | 21,227 | $4.1M |
| Providence Interventional Associates Ii Llc | 294 | $1.9M |
| Scott Greenberg | 616 | $1.8M |
| Gaurav GuptaM.D. | 779 | $1.8M |
| Professional Ambulance Llc | 2,957 | $1.7M |
| Altin PaniM.D. | 691 | $1.7M |
| Coastline Emergency Medical Services, Inc | 3,092 | $1.5M |
| Candescent Eye Surgicenter Llc | 636 | $1.5M |
| Brian SavoieM.D. | 470 | $1.4M |
| Tatyana SerednyakovaDO | 555 | $1.3M |
| Kiley ToderM.D. | 254 | $1.1M |
| City Of Warwick | 1,456 | $1.0M |
| Bayside Endoscopy Center, Llc | 814 | $1.0M |
| Jason MichaelsMD | 708 | $983K |
| Crossings Surgery Center, Llc | 126 | $939K |
| City Of Providence Rhode Island | 1,361 | $918K |
| Pranjal ThakuriaMD | 525 | $889K |
| Richard BryanMD | 434 | $883K |
| Robert JanigianMD | 516 | $839K |
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