Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › Providence › NPI 1083848980
Clinic

Rhode Island Hospital

Rhode Island Hospital was paid $13.22M by Medicaid between Oct 2018 and Apr 2024, across 20 billing codes. Its largest line is 90999, dialysis (unlisted procedure) — 35% of everything it billed.

33Billing provider infoRHODE ISLAND HOSPITAL
PROVIDENCE, RI 02905
33aNPI1083848980assigned 05/06/2009
28Total paid$13.22M
24GClaims34,071
24DCodes billed20
24AFirst – last monthOct 2018 – Apr 2024
Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Rhode Island

Rank by total paid#1 of 13
Median peer was paid$1.25M
This provider vs. median11×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MARKELL, PETER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
20181,123$132K
201912,019$4.59M
202010,347$4.34M
20211,691$1.26M
20225,875$2.59M
20232,197$72K
2024incomplete819$222K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 35% 10,868 594 $4.62M
J2501 Injection, paricalcitol, 1 mcg 28% 6,955 384 $3.75M
84100 4.5% 2,071 878 $597K
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) 4.1% 1,159 220 $545K
83970 2.6% 1,161 876 $349K
84520 2.6% 1,304 603 $340K
82728 2.5% 1,161 876 $324K
83550 2.4% 1,165 876 $320K
80053 Comprehensive metabolic panel 2.4% 1,148 868 $318K
83735 2.4% 1,159 876 $317K
85027 2.4% 1,159 876 $317K
83540 2.4% 1,160 875 $317K
8 more codes
82248 2.4% 1,147 $315K
85018 2.1% 857 $278K
85014 1.6% 636 $210K
82310 1.6% 638 $207K
83036 Hemoglobin; glycosylated (A1C) <1% 87 $37K
86706 <1% 101 $24K
87340 <1% 102 $23K
J7030 Infusion, normal saline solution , 1000 cc <1% 33 $5K

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 officialMARKELL, PETER (EVP & CFO)
Same official

Other billing entities under MARKELL, PETER

Full network →
ProviderLocationPaid
Rhode Island HospitalProvidence, RI$380.77M
The Miriam HospitalProvidence, RI$138.58M
Gateway Healthcare INCPawtucket, RI$122.93M
Emma Pendleton Bradley HospitalRiverside, RI$37.64M
Newport HospitalNewport, RI$15.82M
Lifespan Physician Group, INC.Warwick, RI$6.48M
Lifespan Physician Group, INC.Providence, RI$5.64M
Rhode Island HospitalProvidence, RI$5.32M
Emma Pendleton Bradley HospitalEast Providence, RI$5.03M
Lifespan Physician Group INCProvidence, RI$4.41M
Rhode Island HospitalProvidence, RI$3.97M
Newport HospitalNewport, RI$3.05M
Rhode Island HospitalEast Providence, RI$2.58M
Vna Technicare, INC.Providence, RI$2.52M
Rhode Island HospitalProvidence, RI$2.33M
Coastal Medical Physicians, INC.Providence, RI$1.33M
Gateway Healthcare, INC.Pawtucket, RI$1.31M
Coastal Medical Physicians, INC.Providence, RI$1.20M
Gateway Healthcare, INCJohnston, RI$1.13M
Gateway Healthcare, INCCharlestown, RI$731K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.