Medicaid Provider Spending

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

SILVER SPRING HEALTH CARE MANAGEMENT, INC.

NPI: 1306365812 · NARRAGANSETT, RI 02882 · Internal Medicine Physician · NPI assigned 09/15/2017

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

Authorized official POLHEMUS, MARCIA controls 12+ related entities in our dataset. Read more

$105K
Total Medicaid Paid
5,054
Total Claims
4,351
Beneficiaries
14
Codes Billed
2018-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPOLHEMUS, MARCIA (CONTROLLER)
NPI Enumeration Date09/15/2017

Related Entities

Other providers sharing the same authorized official: POLHEMUS, MARCIA

ProviderCityStateTotal Paid
SILVER SPRING HEALTH CARE MANAGEMENT, INC. EAST GREENWICH RI $230K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WARWICK RI $106K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WESTERLY RI $60K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WAKEFIELD RI $28K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WAKEFIELD RI $14K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WAKEFIELD RI $9K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WAKEFIELD RI $4K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. NARRAGANSETT RI $3K
SILVER SPRING HEALTH CARE MANAGEMENT, INC WAKEFIELD RI $977.05
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WAKEFIELD RI $419.15
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WAKEFIELD RI $321.43
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WAKEFIELD RI $63.99

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 210 $2K
2019 1,059 $5K
2020 459 $2K
2021 1,174 $5K
2022 1,196 $19K
2023 528 $42K
2024 428 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 823 726 $48K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 999 867 $46K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 25 25 $2K
3008F 993 841 $2K
99215 Prolong outpt/office vis 20 16 $2K
1000F 791 667 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $890.96
3074F 398 332 $609.15
1036F 308 265 $557.57
3078F 406 343 $550.45
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 14 $535.68
1125F 132 113 $204.46
1126F 105 102 $172.26
3079F 27 27 $47.64