Medicaid Provider Spending

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

THE MIRIAM HOSPITAL

NPI: 1225073638 · PROVIDENCE, RI 02904 · Surgery Physician · NPI assigned 06/19/2006

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

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

$35K
Total Medicaid Paid
2,583
Total Claims
2,052
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
NPI Enumeration Date06/19/2006

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
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 504 $11K
2019 376 $7K
2020 496 $3K
2021 551 $6K
2022 356 $6K
2023 137 $943.35
2024 163 $691.55

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 156 121 $10K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,277 1,138 $7K
90792 Psychiatric diagnostic evaluation with medical services 499 470 $7K
S9433 Medical food nutritionally complete, administered orally, providing 100% of nutritional intake 319 82 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 106 101 $3K
99412 116 38 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 16 $301.92
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 14 $281.92
99308 Subsequent nursing facility care, per day, straightforward 78 72 $162.99