Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › Pawtucket › NPI 1063441640
Physician

Memorial Hospital

Memorial Hospital was paid $131K by Medicaid between Jan 2018 and Feb 2018, across 21 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 20% of everything it billed.

33Billing provider infoMEMORIAL HOSPITAL
PAWTUCKET, RI 02860
33aNPI1063441640assigned 07/03/2006
33bProvider typeHospitalist Physician
28Total paid$131K
24GClaims2,434
24DCodes billed21
24AFirst – last monthJan 2018 – Feb 2018
Compared with peers

Next to other Hospitalist Physician providers in Rhode Island

Rank by total paid#1 of 10
Median peer was paid$1K
This provider vs. median100×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20182,434$131K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 20% 458 389 $26K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 16% 183 51 $21K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 15% 672 560 $19K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 201 184 $17K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 8.0% 109 48 $10K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7.8% 129 63 $10K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5.5% 199 174 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.3% 32 32 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 2.4% 56 54 $3K
97161 1.6% 25 24 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.4% 45 25 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.2% 58 46 $2K
9 more codes
90461 1.0% 21 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 32 $1K
71046 Radiologic examination, chest; 2 views <1% 21 $828.84
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 23 $677.37
81002 <1% 67 $673.07
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 16 $633.69
81025 <1% 42 $623.35
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 14 $447.93
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 31 $223.37

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDIETZ, FRANCIS (CEO/ PRESIDENT)