Medicaid Provider Spending

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

RHODE ISLAND HOSPITAL

NPI: 1154537520 · PROVIDENCE, RI 02903 · Cytopathology Physician · NPI assigned 05/15/2007

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

Authorized official MARKELL, PETER controls 20+ related entities in our dataset. Read more

$3.97M
Total Medicaid Paid
53,875
Total Claims
48,303
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
Parent OrganizationLIFESPAN CORPORATION
NPI Enumeration Date05/15/2007

Related Entities

Other providers sharing the same authorized official: MARKELL, PETER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 14,315 $1.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,948 12,549 $1.46M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19,136 17,837 $923K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,219 8,093 $609K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,423 3,302 $314K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,169 1,144 $231K
90834 Psychotherapy, 45 minutes with patient 1,400 763 $115K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,267 653 $90K
99215 Prolong outpt/office vis 302 292 $43K
62323 116 115 $29K
90791 Psychiatric diagnostic evaluation 199 148 $23K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 171 170 $18K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 499 497 $14K
88304 816 802 $13K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 88 87 $13K
99205 Prolong outpt/office vis 44 44 $11K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 230 195 $11K
90832 Psychotherapy, 30 minutes with patient 237 144 $11K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 74 24 $10K
88342 178 166 $6K
88112 123 117 $4K
88173 41 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) 271 266 $3K
96127 440 424 $2K
99222 Initial hospital care, per day, moderate complexity 12 12 $1K
99232 Subsequent hospital care, per day, moderate complexity 28 13 $1K
90853 Group psychotherapy (other than of a multiple-family group) 41 26 $1K
20552 14 12 $657.53
0072A 22 22 $397.76
0071A 21 21 $379.68
99406 17 15 $238.48
99441 12 12 $223.61
G0008 Administration of influenza virus vaccine 183 174 $120.56
88341 16 14 $57.32
90662 91 84 $54.08
90694 13 13 $2.00
90686 14 12 $0.00