Medicaid Provider Spending

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

COASTAL MEDICAL PHYSICIANS, INC.

NPI: 1437748324 · PROVIDENCE, RI 02903 · Clinical Medical Laboratory · NPI assigned 01/14/2021

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

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

$1.33M
Total Medicaid Paid
79,854
Total Claims
66,773
Beneficiaries
65
Codes Billed
2021-02
First Month
2023-03
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
Parent OrganizationCOASTAL MEDICAL PHYSICIANS, INC.
NPI Enumeration Date01/14/2021

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
RHODE ISLAND HOSPITAL PROVIDENCE RI $2.33M
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
2021 38,865 $670K
2022 35,366 $597K
2023 5,623 $66K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 7,583 6,190 $535K
80050 General health panel 3,266 2,803 $96K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,184 2,648 $80K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,400 1,997 $73K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,399 1,996 $73K
80061 Lipid panel 6,338 5,280 $70K
84443 Thyroid stimulating hormone (TSH) 3,458 2,834 $47K
87650 2,490 2,145 $43K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,582 4,654 $36K
83036 Hemoglobin; glycosylated (A1C) 3,880 3,234 $29K
82607 2,147 1,802 $28K
80048 Basic metabolic panel (calcium, ionized) 3,760 3,029 $26K
80053 Comprehensive metabolic panel 2,523 2,204 $21K
87806 810 674 $16K
82728 1,326 1,105 $16K
87086 Culture, bacterial; quantitative colony count, urine 2,080 1,648 $11K
84466 841 709 $9K
84439 984 825 $8K
36415 Collection of venous blood by venipuncture 7,714 6,831 $7K
86780 584 487 $7K
86803 535 442 $6K
84153 385 317 $6K
80076 853 675 $6K
81001 2,028 1,658 $6K
84460 1,184 937 $6K
85027 923 755 $5K
82043 978 873 $5K
84450 1,092 872 $5K
87428 94 75 $5K
82570 989 884 $5K
86618 309 246 $4K
87186 560 444 $4K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 134 106 $4K
87905 279 251 $3K
86140 611 513 $3K
82550 483 407 $3K
87808 246 223 $3K
83735 393 319 $2K
81003 1,279 1,073 $2K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 138 135 $2K
84481 203 165 $2K
83690 330 269 $2K
85652 836 690 $2K
82746 145 106 $2K
87070 203 202 $2K
83721 180 154 $1K
87210 264 239 $995.27
83013 15 14 $822.76
87340 72 51 $656.92
82565 145 115 $638.19
85610 170 100 $575.83
87077 73 64 $454.05
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 28 19 $408.86
82150 65 53 $370.70
84403 16 12 $363.50
86431 64 58 $312.28
87088 37 30 $263.17
83001 17 12 $260.24
82784 32 26 $251.94
86706 26 17 $226.23
84436 30 24 $175.53
80051 18 12 $106.08
83014 15 14 $96.02
84550 15 14 $58.29
82248 13 13 $55.10