Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › RI › PROVIDENCE › PROSPECT CHARTERCARE RWMC, LLC

PROSPECT CHARTERCARE RWMC, LLC

NPI: 1285059287 · PROVIDENCE, RI 02908 · Addiction Medicine (Internal Medicine) Physician · NPI assigned 02/27/2014

$2.38M
Total Medicaid Paid
54,829
Total Claims
37,694
Beneficiaries
101
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSABILLO, ALFREDO (SENIOR VICE PRESIDENT)
NPI Enumeration Date02/27/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,717 $783K
2019 10,407 $429K
2020 9,217 $410K
2021 5,370 $211K
2022 2,131 $105K
2023 4,013 $253K
2024 2,974 $191K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 1,973 1,596 $496K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,534 3,631 $236K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 665 248 $176K
90791 Psychiatric diagnostic evaluation 1,916 1,722 $169K
99232 Subsequent hospital care, per day, moderate complexity 6,680 2,338 $136K
99223 Prolong inpt eval add15 m 1,475 1,398 $130K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,534 1,940 $110K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 862 307 $65K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 860 314 $63K
99282 Emergency department visit for the evaluation and management, low to moderate severity 378 302 $61K
99239 Hospital discharge day management, more than 30 minutes 1,234 1,177 $54K
96375 Therapeutic injection; each additional sequential IV push 362 188 $44K
80053 Comprehensive metabolic panel 2,711 2,068 $44K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 3,958 2,719 $43K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 893 759 $41K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 166 109 $37K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 94 70 $37K
84443 Thyroid stimulating hormone (TSH) 1,388 1,180 $35K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 203 93 $31K
88305 Level IV - Surgical pathology, gross and microscopic examination 442 340 $29K
80061 Lipid panel 1,339 1,131 $28K
99222 Initial hospital care, per day, moderate complexity 254 248 $20K
99233 Prolong inpt eval add15 m 282 125 $16K
82607 699 571 $16K
90792 Psychiatric diagnostic evaluation with medical services 157 151 $16K
90832 Psychotherapy, 30 minutes with patient 397 232 $16K
83036 Hemoglobin; glycosylated (A1C) 1,150 974 $15K
80048 Basic metabolic panel (calcium, ionized) 1,522 967 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 397 304 $14K
86141 675 559 $13K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 83 48 $12K
82728 566 475 $12K
80305 763 459 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 129 89 $11K
85027 1,020 805 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 157 47 $9K
84439 495 415 $7K
83540 598 481 $6K
99284 Emergency department visit for the evaluation and management, high severity 82 51 $6K
85610 1,031 424 $6K
80076 521 346 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 86 59 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 86 59 $5K
84466 257 195 $5K
71046 Radiologic examination, chest; 2 views 307 199 $4K
94726 74 43 $4K
84460 485 384 $4K
94729 72 42 $4K
84450 474 377 $4K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 35 25 $4K
82565 479 371 $3K
81001 816 646 $3K
82746 212 168 $3K
85652 768 638 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 26 26 $3K
86803 133 101 $3K
74177 Computed tomography, abdomen and pelvis; with contrast material 22 13 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 334 212 $2K
84100 341 187 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 86 44 $2K
83735 195 99 $2K
90785 398 371 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 249 209 $2K
87086 Culture, bacterial; quantitative colony count, urine 202 122 $1K
94060 20 12 $1K
85045 179 127 $993.32
96415 15 12 $971.52
84207 23 12 $715.19
82043 89 61 $673.01
82550 77 41 $568.52
86850 78 52 $529.17
G0463 Hospital outpatient clinic visit for assessment and management of a patient 99 46 $426.60
84154 13 13 $404.43
84480 22 12 $386.46
86900 86 52 $374.18
86901 86 52 $369.80
87340 19 12 $282.96
84520 59 31 $280.51
84425 29 16 $264.91
85730 32 17 $254.44
88342 12 12 $246.87
82040 42 27 $204.79
J1100 Injection, dexamethasone sodium phosphate, 1 mg 216 96 $174.56
82947 35 17 $148.86
84550 23 13 $143.64
87081 60 39 $91.56
87186 26 14 $78.36
81025 68 42 $77.98
J1644 Injection, heparin sodium, per 1000 units 332 155 $66.45
84484 70 33 $58.54
99231 Subsequent hospital care, per day, straightforward or low complexity 376 77 $38.43
99221 31 25 $38.18
99307 87 87 $18.58
J2405 Injection, ondansetron hydrochloride, per 1 mg 97 53 $12.50
J3010 Injection, fentanyl citrate, 0.1 mg 168 120 $7.04
J2250 Injection, midazolam hydrochloride, per 1 mg 177 129 $6.88
J1885 Injection, ketorolac tromethamine, per 15 mg 39 25 $1.82
82962 76 29 $0.00
99308 Subsequent nursing facility care, per day, straightforward 39 24 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 52 29 $0.00
99238 Hospital discharge day management, 30 minutes or less 95 89 $0.00