Medicaid Provider Spending

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

THE MIRIAM HOSPITAL

NPI: 1164716031 · PROVIDENCE, RI 02904 · Multi-Specialty Clinic/Center · NPI assigned 06/08/2011

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

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

$460K
Total Medicaid Paid
5,395
Total Claims
4,897
Beneficiaries
8
Codes Billed
2018-03
First Month
2024-03
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
Parent OrganizationLIFESPAN CORPORATION
NPI Enumeration Date06/08/2011

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
RHODE ISLAND HOSPITAL PROVIDENCE RI $3.97M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 367 $5K
2019 606 $13K
2020 414 $22K
2021 564 $37K
2022 1,421 $152K
2023 1,602 $185K
2024 421 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,347 3,008 $316K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,618 1,519 $120K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 255 235 $17K
90834 Psychotherapy, 45 minutes with patient 64 36 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 37 37 $2K
99443 14 12 $0.00
99442 15 13 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 45 37 $0.00