Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Silver Spring Health Care Management, INC.

Silver Spring Health Care Management, INC. was paid $106K by Medicaid between Jul 2022 and Nov 2024, across 6 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 26% of everything it billed.

33Billing provider infoSILVER SPRING HEALTH CARE MANAGEMENT, INC.
WARWICK, RI 02886
33aNPI1346820545assigned 04/12/2021
33bProvider typeNurse Practitioner
28Total paid$106K
24GClaims1,946
24DCodes billed6
24AFirst – last monthJul 2022 – Nov 2024
Compared with peers

Next to other Nurse Practitioner providers in Rhode Island

Rank by total paid#14 of 110
Median peer was paid$14K
This provider vs. median7.6×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2022444$26K
2023824$50K
2024incomplete678$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26% 381 365 $27K
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 25% 415 404 $27K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18% 397 380 $19K
87428 16% 459 443 $17K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14% 146 142 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.2% 148 140 $1K

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 →

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