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CMS RVU26D · Effective 2026-10-01
55535 Medicare reimbursement rates in Rhode Island
Compare 55535 physician payment amounts across CMS localities, including office and facility settings.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 55535 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$403.37
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Compare 55535 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
Unavailable
Facility
$403.37
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 55535 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,353
- Code
- 55535
- Physician work
- 7.01
- Practice expense
- 3.99
- Malpractice
- 0.91
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.01 | × 1.019 | 7.1432 |
| Practice expense | 3.99 | × 1.033 | 4.1217 |
| Malpractice | 0.91 | × 0.892 | 0.8117 |
| Total RVUs | 12.0766 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$403.37
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.01 | 1.019 |
| Practice expense | 3.99 | 1.033 |
| Malpractice | 0.91 | 0.892 |
(7.01 × 1.019 + 3.99 × 1.033 + 0.91 × 0.892) × $33.4009 = $403.37
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.