Medicaid Provider Spending

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

LIFESPAN PHYSICIAN GROUP, INC.

NPI: 1285191163 · WARWICK, RI 02889 · General Practice Physician · NPI assigned 02/27/2019

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

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

$6.48M
Total Medicaid Paid
112,638
Total Claims
101,698
Beneficiaries
35
Codes Billed
2019-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
Parent OrganizationLIFESPAN CORPORATION
NPI Enumeration Date02/27/2019

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. 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
GATEWAY HEALTHCARE, INC CHARLESTOWN RI $731K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 271 $41K
2020 2,920 $298K
2021 16,745 $1.06M
2022 22,477 $1.27M
2023 33,133 $1.81M
2024 37,092 $2.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 21,536 19,037 $2.31M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,786 25,055 $2.00M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15,099 13,713 $527K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,235 3,688 $420K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,726 2,224 $409K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12,715 11,770 $226K
71046 Radiologic examination, chest; 2 views 5,033 4,517 $164K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,193 4,864 $85K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,504 1,495 $62K
73610 1,210 1,106 $49K
73630 1,088 1,006 $40K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 548 530 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 718 705 $25K
81025 2,839 2,593 $23K
81002 5,460 4,924 $19K
73130 359 345 $15K
73110 281 262 $13K
73140 279 275 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 662 640 $8K
73560 230 210 $8K
93000 561 541 $7K
0011A 207 93 $5K
73030 141 138 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 362 337 $5K
0012A 119 53 $4K
87807 210 201 $2K
36415 Collection of venous blood by venipuncture 773 668 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 42 26 $829.69
87905 87 83 $784.70
86308 160 146 $632.74
73080 12 12 $571.65
J1885 Injection, ketorolac tromethamine, per 15 mg 174 166 $160.28
69209 12 12 $120.72
81003 27 26 $47.58
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 250 237 $31.61