Medicare provider payments and utilization data for Rhode Island (RI)
Rhode Island received $2.5B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Ophthalmology, accounting for $19.2M in payments across 67 providers.
In 2023, 4.9K providers were actively billing Medicare in Rhode Island.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $258.8M | 7.1M | 4.3K | — |
| 2015 | $266.9M | 7.2M | 4.4K | +3.1% |
| 2016 | $266.1M | 7.4M | 4.5K | -0.3% |
| 2017 | $245.6M | 6.6M | 4.5K | -7.7% |
| 2018 | $250.2M | 6.7M | 4.5K | +1.9% |
| 2019 | $259.2M | 7.0M | 4.6K | +3.6% |
| 2020 | $222.2M | 5.8M | 4.5K | -14.3% |
| 2021 | $255.4M | 6.4M | 4.8K | +15.0% |
| 2022 | $237.3M | 6.0M | 4.8K | -7.1% |
| 2023 | $235.5M | 6.1M | 4.9K | -0.8% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $22.8M | 288.0K | 1.9K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $14.4M | 245.6K | 1.9K |
| J0178 | Injection, aflibercept, 1 mg | $8.4M | 12.3K | 14 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $6.8M | 16.5K | 48 |
| 99285 | Emergency department visit with high level of medical decision making | $6.0M | 43.2K | 284 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $5.3M | 289.7K | 463 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $5.0M | 80.8K | 653 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $4.3M | 45.8K | 469 |
| 97530 | Therapy procedure using functional activities | $4.1M | 150.7K | 371 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $3.5M | 35.2K | 450 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $3.4M | 25.6K | 535 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $3.4M | 29.4K | 740 |
| 92014 | Established patient complete exam of visual system | $3.1M | 37.0K | 190 |
| 99291 | Critical care, first 30-74 minutes | $3.1M | 17.8K | 297 |
| 66984 | Removal of cataract with insertion of prosthetic lens | $3.0M | 36.8K | 42 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $2.6M | 35.5K | 122 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $2.6M | 24.2K | 463 |
| 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 not limited to gc/ms (any type, single or tandem) and lc/ms | $2.6M | 23.4K | 2 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $2.6M | 118.2K | 351 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | $2.5M | 155.3K | 403 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Ophthalmology | $19.2M | 67 | $286.3K |
| Internal Medicine | $19.0M | 568 | $33.5K |
| Diagnostic Radiology | $16.4M | 133 | $123.2K |
| Physical Therapist in Private Practice | $15.5M | 436 | $35.5K |
| Ambulance Service Provider | $13.1M | 48 | $272.0K |
| Nurse Practitioner | $11.5M | 611 | $18.8K |
| Ambulatory Surgical Center | $9.8M | 16 | $615.6K |
| Emergency Medicine | $9.5M | 252 | $37.5K |
| Clinical Laboratory | $9.0M | 4 | $2.2M |
| Physician Assistant | $8.7M | 402 | $21.7K |
| Cardiology | $8.2M | 86 | $95.8K |
| Dermatology | $7.6M | 48 | $159.0K |
| Mass Immunizer Roster Biller | $7.5M | 77 | $97.1K |
| Orthopedic Surgery | $7.3M | 94 | $78.2K |
| Podiatry | $5.6M | 72 | $78.4K |
| Family Practice | $5.4M | 181 | $29.8K |
| Radiation Oncology | $4.0M | 17 | $233.2K |
| Optometry | $3.9M | 167 | $23.3K |
| Nephrology | $3.2M | 34 | $93.8K |
| Rheumatology | $3.1M | 21 | $149.5K |
| Gastroenterology | $3.1M | 57 | $54.9K |
| Psychiatry | $3.1M | 148 | $21.0K |
| Neurology | $2.7M | 70 | $38.3K |
| Urology | $2.4M | 36 | $67.6K |
| Hospitalist | $2.4M | 47 | $51.5K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.