NP / PA
Silver Spring Health Care Management, INC.
Silver Spring Health Care Management, INC. was paid $14K by Medicaid between Oct 2018 and Apr 2024, across 9 billing codes. Its largest line is 6080F, — 22% of everything it billed.
33Billing provider infoSILVER SPRING HEALTH CARE MANAGEMENT, INC.
WAKEFIELD, RI 02879
WAKEFIELD, RI 02879
33aNPI1477052256assigned 02/07/2018
33bProvider typeSurgical Physician Assistant
28Total paid$14K
24GClaims3,025
24DCodes billed9
24AFirst – last monthOct 2018 – Apr 2024
Compared with peers
Next to other Surgical Physician Assistant providers in Rhode Island
Rank by total paid#6 of 13
Median peer was paid$10K
This provider vs. median1.4×
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 | 181 | $2.50 | |
| 2019 | 914 | $4K | |
| 2020 | 726 | $2K | |
| 2021 | 974 | $6K | |
| 2022 | 189 | $122.48 | |
| 2023 | 28 | $1K | |
| 2024incomplete | 13 | $284.08 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 6080F | 22% | 844 | 782 | $3K | |
| 1000F | 22% | 787 | 726 | $3K | |
| 1126F | 20% | 613 | 567 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 210 | 192 | $1K |
| 1036F | 9.2% | 221 | 203 | $1K | |
| 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 | 9.1% | 12 | 12 | $1K |
| 81003 | 4.6% | 231 | 220 | $622.30 | |
| 51798 | 1.2% | 54 | 53 | $165.44 | |
| 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 | <1% | 53 | 51 | $132.30 |
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)
| 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. | Narragansett, RI | $105K |
| 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 | $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.