Medicaid Provider Spending

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

RHODE ISLAND HOSPITAL

NPI: 1396849782 · PROVIDENCE, RI 02903 · Radiation Oncology Clinic/Center · NPI assigned 09/07/2006

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

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

$2.33M
Total Medicaid Paid
28,630
Total Claims
22,999
Beneficiaries
16
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
NPI Enumeration Date09/07/2006

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. WARWICK RI $6.48M
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
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
2018 1,822 $923.40
2019 2,529 $2K
2020 2,378 $3K
2021 4,483 $164K
2022 7,698 $724K
2023 5,238 $763K
2024 4,482 $668K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,292 11,551 $1.19M
99215 Prolong outpt/office vis 5,024 3,942 $563K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,311 4,742 $273K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 839 814 $195K
99443 955 871 $37K
99205 Prolong outpt/office vis 122 120 $30K
99442 520 490 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 223 215 $9K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 104 53 $4K
99223 Prolong inpt eval add15 m 13 12 $2K
99232 Subsequent hospital care, per day, moderate complexity 33 12 $2K
99222 Initial hospital care, per day, moderate complexity 16 14 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 60 56 $1K
99417 Prolong home eval add 15m 13 12 $644.65
99221 87 77 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 18 18 $0.00