The Miriam Hospital
The Miriam Hospital was paid $35K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
PROVIDENCE, RI 02904
Next to other Surgery Physician providers in Rhode Island
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 504 | $11K | |
| 2019 | 376 | $7K | |
| 2020 | 496 | $3K | |
| 2021 | 551 | $6K | |
| 2022 | 356 | $6K | |
| 2023 | 137 | $943.35 | |
| 2024incomplete | 163 | $691.55 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 156 | 121 | $10K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 21% | 1,277 | 1,138 | $7K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 19% | 499 | 470 | $7K |
| S9433 | Medical food nutritionally complete, administered orally, providing 100% of nutritional intake | 16% | 319 | 82 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.5% | 106 | 101 | $3K |
| 99412 | 5.0% | 116 | 38 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16 | 16 | $301.92 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | 14 | $281.92 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 78 | 72 | $162.99 |
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.
Who's on the registration
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.