Medicaid Provider Spending

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

LIFESPAN PHYSICIAN GROUP INC

NPI: 1548506793 · PROVIDENCE, RI 02903 · Clinical Psychologist · NPI assigned 12/17/2012

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

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

$4.41M
Total Medicaid Paid
56,438
Total Claims
37,637
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
Parent OrganizationLIFESPAN CORPORATION
NPI Enumeration Date12/17/2012

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
LIFESPAN PHYSICIAN GROUP, INC. PROVIDENCE RI $5.64M
RHODE ISLAND HOSPITAL PROVIDENCE RI $5.32M
EMMA PENDLETON BRADLEY HOSPITAL EAST PROVIDENCE RI $5.03M
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 3,516 $278K
2019 6,840 $591K
2020 7,505 $291K
2021 10,565 $490K
2022 9,195 $708K
2023 8,748 $956K
2024 10,069 $1.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,784 15,149 $1.43M
90792 Psychiatric diagnostic evaluation with medical services 4,586 4,298 $704K
99233 Prolong inpt eval add15 m 12,065 3,207 $620K
99284 Emergency department visit for the evaluation and management, high severity 4,720 3,727 $613K
90834 Psychotherapy, 45 minutes with patient 4,460 2,506 $271K
99223 Prolong inpt eval add15 m 1,498 1,405 $207K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 4,430 3,718 $190K
99232 Subsequent hospital care, per day, moderate complexity 3,279 974 $87K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 401 369 $61K
90870 587 186 $43K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 873 763 $38K
90847 Family psychotherapy with the patient present, 50 minutes 346 232 $24K
96131 79 75 $21K
90837 Psychotherapy, 53 minutes with patient 197 104 $21K
99239 Hospital discharge day management, more than 30 minutes 284 263 $12K
96130 79 75 $9K
99222 Initial hospital care, per day, moderate complexity 70 64 $9K
96101 21 13 $9K
99442 229 202 $6K
00170 Anesthesia for intraoral procedures, including biopsy 47 26 $5K
99238 Hospital discharge day management, 30 minutes or less 56 54 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 38 38 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 45 45 $4K
00731 24 15 $3K
00126 23 15 $2K
96139 13 13 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 148 50 $1K
99140 15 14 $630.00
96138 13 13 $528.36
90785 13 12 $62.50
99443 15 12 $0.00