Medicaid Provider Spending

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

EMMA PENDLETON BRADLEY HOSPITAL

NPI: 1225017486 · EAST PROVIDENCE, RI 02915 · Psychiatric Hospital · NPI assigned 01/16/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code H2018 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

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

$5.03M
Total Medicaid Paid
105,919
Total Claims
7,346
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
NPI Enumeration Date01/16/2006

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
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
GATEWAY HEALTHCARE, INC CHARLESTOWN RI $731K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,608 $654K
2019 1,578 $58K
2020 21,790 $991K
2021 21,304 $1.05M
2022 17,148 $848K
2023 17,219 $836K
2024 11,272 $595K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2018 Psychosocial rehabilitation services, per diem 104,160 7,218 $4.91M
S5125 Attendant care services; per 15 minutes 1,759 128 $121K