Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROSPECT CHARTERCARE RWMC, LLC

NPI: 1013332014 · PROVIDENCE, RI 02908 · General Acute Care Hospital · NPI assigned 02/27/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ELDERS, ROBERT controls 20+ related entities in our dataset. Read more

$57.10M
Total Medicaid Paid
382,049
Total Claims
278,030
Beneficiaries
215
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELDERS, ROBERT (SECRETARY)
NPI Enumeration Date02/27/2014

Related Entities

Other providers sharing the same authorized official: ELDERS, ROBERT

ProviderCityStateTotal Paid
PROSPECT WATERBURY, INC. WATERBURY CT $84.62M
PROSPECT MANCHESTER HOSPITAL, INC. MANCHESTER CT $69.20M
PROSPECT CCMC, LLC CHESTER PA $40.89M
PROSPECT CT MEDICAL FOUNDATION, INC. MANCHESTER CT $34.07M
PROSPECT ROCKVILLE HOSPITAL, INC. VERNON CT $30.06M
PROSPECT CHARTERCARE SJHSRI, LLC NORTH PROVIDENCE RI $10.94M
PROSPECT DCMH, LLC DREXEL HILL PA $10.37M
PROSPECT CCMC, LLC CHESTER PA $5.46M
ALTA LOS ANGELES HOSPITALS, INC. LOS ANGELES CA $5.42M
PROSPECT CCMC, LLC CHESTER PA $5.03M
PROSPECT CCMC, LLC CHESTER PA $3.71M
PROSPECT CHARTERCARE PHYSICIANS, LLC CRANSTON RI $2.31M
PROSPECT ECHN HOME HEALTH, INC. VERNON CT $1.75M
PROSPECT WATERBURY HOME HEALTH, INC. WATERTOWN CT $1.30M
PROSPECT HEALTH ACCESS NETWORK, INC. CHESTER PA $1.22M
ALTA NEWPORT HOSPITAL, LLC TUSTIN CA $1.16M
PROSPECT HEALTH ACCESS NETWORK, INC. CRUM LYNNE PA $924K
PROSPECT HEALTH ACCESS NETWORK, INC. CHESTER PA $872K
PROSPECT CHARTERCARE SJHSRI, LLC NORTH PROVIDENCE RI $858K
PROSPECT HEALTH ACCESS NETWORK, INC. DREXEL HILL PA $815K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 64,035 $6.14M
2019 70,545 $10.59M
2020 34,326 $6.36M
2021 46,949 $6.13M
2022 53,626 $8.31M
2023 65,178 $11.46M
2024 47,390 $8.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,683 8,465 $4.25M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 30,807 21,067 $3.42M
36415 Collection of venous blood by venipuncture 25,311 17,360 $2.95M
99283 Emergency department visit for the evaluation and management, moderate severity 12,553 10,243 $2.91M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 9,156 4,493 $2.60M
80048 Basic metabolic panel (calcium, ionized) 16,989 11,453 $2.41M
99284 Emergency department visit for the evaluation and management, high severity 8,499 7,367 $2.15M
96375 Therapeutic injection; each additional sequential IV push 5,861 3,413 $1.65M
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 (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 5,438 3,603 $1.48M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,850 1,204 $1.44M
80076 7,777 5,966 $1.18M
83735 6,844 3,701 $1.14M
80053 Comprehensive metabolic panel 15,642 12,078 $1.10M
J1644 Injection, heparin sodium, per 1000 units 3,085 1,319 $1.09M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,541 4,183 $1.03M
84100 6,203 3,250 $969K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,057 3,129 $943K
81001 8,984 7,297 $942K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,092 1,682 $855K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,527 4,843 $823K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,706 1,398 $821K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,023 1,049 $782K
84484 4,990 3,373 $745K
83690 4,325 3,453 $690K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,407 1,922 $681K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,607 1,774 $666K
G0378 Hospital observation service, per hour 1,635 1,082 $662K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3,044 2,608 $639K
82962 3,238 1,311 $628K
85610 5,546 3,302 $616K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,348 1,850 $598K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,216 3,226 $580K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,094 1,554 $462K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 122 12 $432K
71046 Radiologic examination, chest; 2 views 3,804 3,067 $408K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,165 1,736 $393K
J3490 Unclassified drugs 5,880 4,558 $392K
70450 Computed tomography, head or brain; without contrast material 2,066 1,677 $379K
71045 Radiologic examination, chest; single view 1,840 1,531 $369K
87081 1,802 1,212 $357K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,292 3,424 $356K
95806 496 474 $353K
84443 Thyroid stimulating hormone (TSH) 6,508 5,743 $340K
87086 Culture, bacterial; quantitative colony count, urine 3,826 3,057 $304K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,338 1,811 $301K
80061 Lipid panel 6,094 5,406 $288K
83036 Hemoglobin; glycosylated (A1C) 5,511 4,881 $284K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,240 854 $281K
J3010 Injection, fentanyl citrate, 0.1 mg 1,095 744 $275K
83605 1,331 894 $247K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,279 1,045 $237K
83880 1,564 1,237 $193K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,024 856 $191K
S9131 Physical therapy; in the home, per diem 1,949 353 $185K
81025 1,488 1,159 $183K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 962 829 $177K
82607 3,514 3,193 $174K
82947 1,107 678 $172K
45380 Colonoscopy, flexible; with biopsy, single or multiple 504 440 $166K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,381 1,979 $162K
T1030 Nursing care, in the home, by registered nurse, per diem 1,270 378 $157K
85730 1,387 902 $155K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,448 3,051 $153K
86141 2,444 1,962 $153K
J1200 Injection, diphenhydramine hcl, up to 50 mg 755 461 $151K
82728 3,208 2,819 $145K
36591 326 145 $139K
82550 1,021 827 $132K
83615 1,487 871 $130K
87186 1,357 1,090 $128K
86900 895 597 $125K
82746 2,136 1,963 $123K
86901 895 597 $123K
85652 2,686 2,256 $118K
86850 812 564 $117K
J7030 Infusion, normal saline solution , 1000 cc 533 383 $115K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 557 481 $111K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 542 75 $108K
85045 1,201 966 $98K
84466 2,116 1,928 $96K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 149 148 $93K
99281 Emergency department visit for the evaluation and management, self-limited or minor 571 490 $89K
84439 2,595 2,349 $87K
83540 3,109 2,769 $86K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 169 139 $85K
J2270 Injection, morphine sulfate, up to 10 mg 519 286 $85K
J2060 Injection, lorazepam, 2 mg 499 313 $82K
71260 Computed tomography, thorax, diagnostic; with contrast material 351 298 $82K
96367 278 114 $80K
96415 240 84 $80K
85027 3,219 2,673 $78K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 639 342 $75K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 813 678 $73K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 813 678 $73K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 586 393 $73K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 7,993 6,278 $70K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 524 413 $68K
87077 626 473 $66K
84703 400 371 $65K
85379 420 318 $60K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,218 1,005 $57K
72125 Computed tomography, cervical spine; without contrast material 300 261 $56K
83721 147 102 $52K
83013 436 430 $51K
76705 Ultrasound, abdominal, real time with image documentation; limited 368 354 $49K
97162 103 93 $48K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 229 172 $47K
J1756 Injection, iron sucrose, 1 mg 855 362 $44K
74176 Computed tomography, abdomen and pelvis; without contrast material 247 185 $42K
74246 413 405 $42K
71250 216 198 $41K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 626 589 $40K
96361 Intravenous infusion, hydration; each additional hour 231 149 $38K
80305 1,414 948 $34K
94726 534 465 $34K
94729 580 511 $34K
86803 1,185 1,076 $33K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 52 52 $32K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 321 317 $31K
84207 608 568 $27K
S9097 Home visit for wound care 260 38 $25K
73030 150 132 $24K
82150 200 184 $24K
82565 1,269 1,042 $23K
84252 572 534 $21K
97166 46 39 $20K
S5000 Prescription drug, generic 430 273 $19K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 92 84 $17K
99232 Subsequent hospital care, per day, moderate complexity 310 98 $17K
82803 93 73 $17K
84425 792 746 $16K
80353 274 128 $16K
73630 245 188 $16K
94060 180 170 $15K
82043 1,198 1,114 $14K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 92 72 $13K
J0690 Injection, cefazolin sodium, 500 mg 99 55 $13K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 73 26 $12K
J3475 Injection, magnesium sulfate, per 500 mg 17 12 $12K
84480 209 156 $11K
71271 29 29 $11K
J1650 Injection, enoxaparin sodium, 10 mg 31 12 $11K
77067 Screening mammography, bilateral, including computer-aided detection 116 93 $11K
88313 134 100 $10K
88342 209 104 $10K
86480 145 142 $10K
82652 148 146 $10K
84590 428 390 $9K
86592 175 152 $9K
84520 335 249 $9K
84460 986 754 $7K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 179 70 $7K
84450 962 735 $7K
87040 46 40 $7K
88304 79 60 $7K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 60 28 $7K
72100 118 82 $6K
86706 270 221 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 36 27 $6K
86038 157 150 $6K
73560 34 29 $6K
84550 459 377 $6K
S9129 Occupational therapy, in the home, per diem 59 15 $6K
90715 13 12 $5K
20610 27 26 $5K
71275 Computed tomographic angiography, chest, with contrast material 33 27 $5K
99223 Prolong inpt eval add15 m 26 26 $5K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 104 68 $5K
80050 General health panel 21 13 $4K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 15 12 $4K
87340 213 184 $4K
96523 81 55 $4K
99215 Prolong outpt/office vis 30 26 $4K
80358 99 81 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29 28 $4K
83516 116 86 $4K
86762 25 25 $4K
86735 25 25 $4K
73562 54 38 $3K
87070 120 81 $3K
83970 53 51 $3K
86431 79 74 $3K
73110 51 26 $2K
86780 81 72 $2K
73502 25 24 $2K
77063 Screening digital breast tomosynthesis, bilateral 36 36 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 39 28 $2K
74019 15 13 $2K
A4649 Surgical supply; miscellaneous 76 65 $2K
99239 Hospital discharge day management, more than 30 minutes 26 13 $2K
82040 259 173 $1K
80051 89 72 $1K
A0425 Ground mileage, per statute mile 13 13 $1K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 13 13 $1K
96376 22 12 $879.08
82140 20 12 $878.50
86704 30 13 $811.47
A9150 Non-prescription drugs 36 29 $792.41
86787 26 25 $718.79
86765 24 24 $674.88
J0696 Injection, ceftriaxone sodium, per 250 mg 21 14 $624.65
84165 25 25 $580.00
82105 16 16 $557.35
84154 16 12 $496.54
83921 12 12 $483.35
82784 13 13 $465.05
94010 12 12 $410.86
82785 14 14 $391.25
87205 20 13 $294.89
84481 14 14 $232.10
82570 25 24 $206.95
85018 23 14 $177.49
85014 22 13 $173.92
J1170 Injection, hydromorphone, up to 4 mg 32 19 $99.59
83655 12 12 $95.70