Medicaid Provider Spending

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

MEMORIAL HOSPITAL

NPI: 1063441640 · PAWTUCKET, RI 02860 · Hospitalist Physician · NPI assigned 07/03/2006

$131K
Total Medicaid Paid
2,434
Total Claims
1,896
Beneficiaries
21
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialDIETZ, FRANCIS (CEO/ PRESIDENT)
NPI Enumeration Date07/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,434 $131K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 458 389 $26K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 183 51 $21K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 672 560 $19K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 201 184 $17K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 109 48 $10K
97530 Therapeutic activities, direct patient contact, each 15 minutes 129 63 $10K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 199 174 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32 32 $4K
90460 Immunization administration through 18 years of age via any route, first or only component 56 54 $3K
97161 25 24 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 45 25 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 58 46 $2K
90461 21 21 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 32 32 $1K
71046 Radiologic examination, chest; 2 views 21 19 $828.84
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 23 22 $677.37
81002 67 55 $673.07
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16 16 $633.69
81025 42 38 $623.35
J1050 Injection, medroxyprogesterone acetate, 1 mg 14 14 $447.93
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 31 29 $223.37