Medicaid Provider Spending

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

LIFESPAN PHYSICIAN GROUP, INC.

NPI: 1407116643 · PROVIDENCE, RI 02903 · Surgery Physician · NPI assigned 05/22/2012

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

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

$5.64M
Total Medicaid Paid
189,851
Total Claims
147,506
Beneficiaries
84
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
Parent OrganizationLIFESPAN CORPORATION
NPI Enumeration Date05/22/2012

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
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
2018 22,864 $802K
2019 27,728 $910K
2020 24,434 $452K
2021 31,522 $662K
2022 29,888 $750K
2023 30,350 $1.22M
2024 23,065 $848K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,163 15,479 $1.24M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,271 12,019 $913K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 103,335 83,978 $814K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,163 5,649 $306K
99232 Subsequent hospital care, per day, moderate complexity 13,321 4,084 $256K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,202 1,990 $228K
00731 1,500 1,042 $202K
99223 Prolong inpt eval add15 m 3,123 2,745 $168K
99233 Prolong inpt eval add15 m 8,019 2,798 $160K
00840 602 402 $148K
00790 505 323 $144K
00170 Anesthesia for intraoral procedures, including biopsy 829 534 $134K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 718 696 $105K
92015 Determination of refractive state 3,664 3,029 $84K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,236 1,175 $73K
00813 431 292 $67K
92060 721 646 $54K
00670 119 65 $49K
J0585 Injection, onabotulinumtoxina, 1 unit 114 99 $34K
99205 Prolong outpt/office vis 171 167 $33K
00104 46 12 $24K
99239 Hospital discharge day management, more than 30 minutes 1,863 1,699 $23K
01810 218 135 $21K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 229 224 $21K
01480 109 67 $19K
00126 223 133 $17K
92133 548 505 $17K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 87 79 $16K
00811 152 89 $16K
00400 108 76 $16K
95873 171 129 $16K
00300 73 55 $14K
99238 Hospital discharge day management, 30 minutes or less 1,043 953 $12K
99215 Prolong outpt/office vis 371 348 $11K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 79 79 $11K
95911 46 43 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 364 346 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 283 228 $10K
97803 133 116 $9K
92134 572 506 $9K
95874 64 62 $9K
99222 Initial hospital care, per day, moderate complexity 554 501 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 56 56 $8K
36620 215 203 $7K
95886 45 41 $7K
93000 1,078 1,022 $7K
64643 58 51 $7K
92083 118 106 $6K
93248 267 258 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 26 24 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 17 17 $5K
00320 23 15 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 27 12 $4K
77014 96 39 $4K
76830 Ultrasound, transvaginal 25 24 $4K
00140 19 12 $3K
93018 185 182 $3K
92250 31 27 $3K
01830 21 13 $3K
75561 19 18 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 25 24 $2K
64447 32 29 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 30 28 $2K
76942 83 77 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 16 12 $2K
93227 47 47 $2K
99152 38 29 $1K
99221 700 618 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 49 37 $1K
95816 12 12 $854.10
99443 182 171 $727.80
93244 23 22 $474.89
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 21 12 $455.45
94010 12 12 $371.14
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $361.17
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $244.28
90460 Immunization administration through 18 years of age via any route, first or only component 13 13 $225.33
96127 13 13 $65.80
99217 80 77 $24.32
90686 25 25 $12.50
99220 12 12 $3.45
99442 305 279 $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 201 184 $0.00
99441 38 31 $0.00