Medicaid Provider Spending

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

THE MIRIAM HOSPITAL

NPI: 1568567790 · PROVIDENCE, RI 02906 · Internal Medicine Physician · NPI assigned 09/13/2006

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

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

$226K
Total Medicaid Paid
2,299
Total Claims
1,540
Beneficiaries
5
Codes Billed
2021-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
NPI Enumeration Date09/13/2006

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 174 $10K
2022 655 $57K
2023 842 $85K
2024 628 $74K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,296 938 $135K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 796 412 $49K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 119 111 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 59 50 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 29 29 $5K