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Neighborhood Health Plan of Rhode Island
Neighborhood Health Plan of Rhode Island is a health insurer. They report 12K insurance plans covering 530 providers across 2K billing codes.
Source: public Transparency in Coverage filesRefreshed monthly, latest September 202619 monthly releases tracked
Monthly release
12K
Plans
XX% vs prior month
530
Providers (NPIs)
XX% vs prior month
260
Tax IDs
2K
Billing codes
17K
Rate rows
September 2026 release
What's in Neighborhood Health Plan of Rhode Island's data
A profile of the machine-readable files Neighborhood Health Plan of Rhode Island publishes, after PayerPrice parses and normalizes them.
Billing code types
Distinct codes and rate rows by code system
CodesRows
- APC7607.6K44%
- MS-DRG7507.5K44%
- CDT5302.1K12%
Billing class
Professional vs. institutional rate rows
- Institutional15K88%
- Professional2.1K12%
Negotiation arrangement
How each rate is expressed
- Negotiated15K88%
- Fee Schedule2.1K12%
Plan identifiers
HIOS IDs mark individual and small-group plans; EINs mark employer plans
- HIOS ID12K100%
- EIN3<0.1%
Providers by type
Distinct NPIs by entity type
- Individual (Type 1)52098%
- Organization (Type 2)101.9%
Tax IDs by type
How provider groups are identified
- EIN260100%
Top states
States with the most providers in network
- Rhode Island410
- Massachusetts75
- Connecticut11
- New York7
- California4
- Pennsylvania4
Top specialties
Provider taxonomies with the most NPIs
- General Practice Dentistry210
- Dentist190
- Pediatric Dentistry28
- Orthodontics and Dentofacial Orthopedics Dentistry26
- Endodontics18
- Oral and Maxillofacial Surgery (Dentist)18
These are the files. Want the rates inside them?
Look up Neighborhood Health Plan of Rhode Island's negotiated rates by provider, TIN, billing code and plan.
Month-over-month history
Track how network size and rate volume change with each monthly release.
| Month | Plans | NPIs | Tax IDs | Billing codes | Rate rows |
|---|---|---|---|---|---|
| September 2026 | 12K | 530 | 260 | 2K | 17K |
| August 2026 | 12K | 520 | 260 | 2K | 17K |
| July 2026 | 12K | 520 | 260 | 2K | 17K |
| June 2026 | — | — | — | — | |
| May 2026 | — | — | — | — |
Data quality scorecard
4/6Acceptable
This payer scores 4/6 on data quality (Acceptable). Areas that don't meet the threshold: standard code coverage and common taxonomies.
Evaluated on the September 2026 release.
Professional & Institutional Rates
Data includes both professional and institutional billing class rates
Valid Tax IDs
More than 80% of Tax IDs are EIN or NPI (Organization) type
HIOS Plan
Data includes at least one HIOS-identified plan
Low Derived/Percentage Rates
Less than 10% of negotiation entries are derived or percentage type
Standard Code Coverage
Insufficient CPT / HCPCS code coverage, or too many LOCAL entries
Common Taxonomies
NPIs in the dataset cover fewer than 50 distinct provider taxonomies
How the score works
Each monthly release is checked against six criteria. 5–6 passing criteria rate Good, 3–4 rate Acceptable, and 0–2 rate Poor.
Behavioral, RX, and other specialty networks may not pass all criteria but can still contain complete and usable data.
Access the data
Neighborhood Health Plan of Rhode Island's negotiated rates, in the tools your team already uses
PayerPrice turns raw transparency files into one clean, normalized dataset across 180+ payers, refreshed every month. Pick how you want to work with it.
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Frequently asked questions
About Neighborhood Health Plan of Rhode Island's price transparency data.
What price transparency data does Neighborhood Health Plan of Rhode Island publish?
Neighborhood Health Plan of Rhode Island's September 2026 Transparency in Coverage files list 12K plans, 530 providers (NPIs), 260 tax IDs and 2K billing codes, for 17K negotiated rate rows in total.
Which states does Neighborhood Health Plan of Rhode Island's network cover?
Neighborhood Health Plan of Rhode Island's files include providers in 21 states. The states with the most in-network providers are Rhode Island, Massachusetts, Connecticut, New York, California.
How often is Neighborhood Health Plan of Rhode Island's data updated?
Payers must post updated machine-readable files every month. PayerPrice processes Neighborhood Health Plan of Rhode Island's files monthly; the latest processed release is September 2026, and 19 monthly releases are available.
What is the Transparency in Coverage rule?
Since July 2022, the federal Transparency in Coverage rule has required most group health plans and health insurers to publish machine-readable files of their in-network negotiated rates and out-of-network allowed amounts, updated monthly. These files are the source for the data on this page.
How can I access Neighborhood Health Plan of Rhode Island's negotiated rates?
Start a free PayerPrice trial to search Neighborhood Health Plan of Rhode Island's rates in the web app, or book a demo to get the full dataset through the REST API, SQL in Snowflake or Databricks, or AI assistants through the PayerPrice MCP server.