Medicaid Provider Spending

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

SILVER SPRING HEALTH CARE MANAGEMENT, INC.

NPI: 1568555183 · EAST GREENWICH, RI 02818 · Adult Health Nurse Practitioner · NPI assigned 10/02/2006

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

Authorized official POLHEMUS, MARCIA controls 12+ related entities in our dataset. Read more

$230K
Total Medicaid Paid
4,309
Total Claims
3,890
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPOLHEMUS, MARCIA (CONTROLLER)
NPI Enumeration Date10/02/2006

Related Entities

Other providers sharing the same authorized official: POLHEMUS, MARCIA

ProviderCityStateTotal Paid
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 $14K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 399 $16K
2019 194 $8K
2020 318 $16K
2021 321 $16K
2022 702 $37K
2023 1,382 $78K
2024 993 $58K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,898 1,712 $109K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 663 637 $57K
87428 692 662 $21K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 273 268 $21K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 136 100 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 39 39 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 119 75 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 339 325 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 29 17 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 121 55 $1K