Physician
Rhode Island Hospital
Rhode Island Hospital was paid $3.97M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoRHODE ISLAND HOSPITAL
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1154537520assigned 05/15/2007
33bProvider typeCytopathology Physician
28Total paid$3.97M
24GClaims53,875
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cytopathology Physician providers in Rhode Island
Rank by total paid#1 of 5
Median peer was paid$100K
This provider vs. median40×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,060 | $66K | |
| 2019 | 3,124 | $126K | |
| 2020 | 1,337 | $68K | |
| 2021 | 4,072 | $220K | |
| 2022 | 12,612 | $926K | |
| 2023 | 16,355 | $1.38M | |
| 2024incomplete | 14,315 | $1.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 37% | 13,948 | 12,549 | $1.46M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 23% | 19,136 | 17,837 | $923K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 9,219 | 8,093 | $609K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 7.9% | 3,423 | 3,302 | $314K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.8% | 1,169 | 1,144 | $231K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.9% | 1,400 | 763 | $115K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 2.3% | 1,267 | 653 | $90K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 302 | 292 | $43K |
| 62323 | <1% | 116 | 115 | $29K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 199 | 148 | $23K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 171 | 170 | $18K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 499 | 497 | $14K |
24 more codes
| 88304 | <1% | 816 | $13K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 88 | $13K |
| 99205 | Prolong outpt/office vis | <1% | 44 | $11K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 230 | $11K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 237 | $11K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 74 | $10K |
| 88342 | <1% | 178 | $6K | |
| 88112 | <1% | 123 | $4K | |
| 88173 | <1% | 41 | $3K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 271 | $3K |
| 96127 | <1% | 440 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $1K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 28 | $1K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 41 | $1K |
| 20552 | <1% | 14 | $657.53 | |
| 0072A | <1% | 22 | $397.76 | |
| 0071A | <1% | 21 | $379.68 | |
| 99406 | <1% | 17 | $238.48 | |
| 99441 | <1% | 12 | $223.61 | |
| G0008 | Administration of influenza virus vaccine | <1% | 183 | $120.56 |
| 88341 | <1% | 16 | $57.32 | |
| 90662 | <1% | 91 | $54.08 | |
| 90694 | <1% | 13 | $2.00 | |
| 90686 | 0% | 14 | $0.00 |
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)
Parent organizationLIFESPAN CORPORATION
| Provider | Location | Paid |
|---|---|---|
| Rhode Island Hospital | Providence, RI | $380.77M |
| The Miriam Hospital | Providence, RI | $138.58M |
| Gateway Healthcare INC | Pawtucket, RI | $122.93M |
| Emma Pendleton Bradley Hospital | Riverside, RI | $37.64M |
| Newport Hospital | Newport, RI | $15.82M |
| Rhode Island Hospital | Providence, RI | $13.22M |
| Lifespan Physician Group, INC. | Warwick, RI | $6.48M |
| Lifespan Physician Group, INC. | Providence, RI | $5.64M |
| Rhode Island Hospital | Providence, RI | $5.32M |
| Emma Pendleton Bradley Hospital | East Providence, RI | $5.03M |
| Lifespan Physician Group INC | Providence, RI | $4.41M |
| Newport Hospital | Newport, RI | $3.05M |
| Rhode Island Hospital | East Providence, RI | $2.58M |
| Vna Technicare, INC. | Providence, RI | $2.52M |
| Rhode Island Hospital | Providence, 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, INC | Johnston, RI | $1.13M |
| Gateway Healthcare, INC | Charlestown, RI | $731K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.