Silver Spring Health Care Management, INC.

Silver Spring Health Care Management, INC. was paid $105K by Medicaid between Oct 2018 and Oct 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoSILVER SPRING HEALTH CARE MANAGEMENT, INC.
NARRAGANSETT, RI 02882

33aNPI1306365812assigned 09/15/2017

33bProvider typeInternal Medicine Physician

28Total paid$105K

24GClaims5,054

24DCodes billed14

24AFirst – last monthOct 2018 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Rhode Island

Rank by total paid#76 of 386

Median peer was paid$15K

This provider vs. median6.8×

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.

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

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

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

Box 24 · Service lines

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	46%	823	726	$48K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	44%	999	867	$46K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.9%	25	25	$2K
3008F		1.7%	993	841	$2K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.6%	20	16	$2K
1000F		1.4%	791	667	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	13	13	$890.96
3074F		<1%	398	332	$609.15
1036F		<1%	308	265	$557.57
3078F		<1%	406	343	$550.45
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	14	$535.68
1125F		<1%	132	113	$204.46

2 more codes

1126F		<1%	105	$172.26
3079F		<1%	27	$47.64

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.

From NPPES

Who's on the registration

Authorized officialPOLHEMUS, MARCIA (CONTROLLER)

Same official

Other billing entities under POLHEMUS, MARCIA

Full network →

Provider	Location	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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.