Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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GPS PHYSICIAN GROUP OF RHODE ISLAND PC

NPI: 1568831162 · COVENTRY, RI 02816 · Geriatric Medicine (Internal Medicine) Physician · NPI assigned 09/24/2015

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

Authorized official SHAPIRO, ERIC controls 20+ related entities in our dataset. Read more

$11K
Total Medicaid Paid
4,775
Total Claims
2,544
Beneficiaries
6
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialSHAPIRO, ERIC (VP/AREA CONTROLLER)
NPI Enumeration Date09/24/2015

Related Entities

Other providers sharing the same authorized official: SHAPIRO, ERIC

ProviderCityStateTotal Paid
GENESIS ELDERCARE PHYSICIAN SERVICES LLC SALISBURY MD $2.74M
HARWOOD BEHAVIORAL HEALTH II LLC BALTIMORE MD $1.31M
HARWOOD BEHAVIORAL HEALTH II LLC FREDERICK MD $969K
GPS PHYSICIAN GROUP OF NEW JERSEY, PC VOORHEES NJ $941K
GEPS PHYSICIAN GROUP OF WEST VIRGINIA PC FOLLANSBEE WV $933K
GENESIS ELDERCARE PHYSICIAN SERVICES LLC ARLINGTON VA $371K
GENESIS ELDERCARE PHYSICIAN SERVICES LLC WINDSOR CT $310K
GEPS PHYSICIAN GROUP OF NEW JERSEY PC KENNETT SQUARE PA $214K
GENESIS ELDERCARE PHYSICIAN SERVICES LLC CONCORD NH $172K
GEPS PHYSICIAN GROUP OF PENNSYLVANIA PC KENNETT SQUARE PA $131K
GEPS PHYSICIAN GROUP OF GEORGIA PC ATLANTA GA $97K
GENESIS ELDERCARE PHYSICIAN SERVICES LLC GARDENDALE AL $83K
GEPS PHYSICIAN GROUP OF NORTH CAROLINA PC SALISBURY MD $77K
HARWOOD BEHAVIORAL HEALTH II LLC ELKTON MD $76K
GENESIS ELDERCARE PHYSICIAN SERVICES LLC SALISBURY MD $76K
GENESIS ELDERCARE PHYSICIAN SERVICES LLC SALISBURY MD $71K
GENESIS ELDERCARE PHYSICIAN SERVICES LLC VENICE FL $61K
GENESIS ELDERCARE PHYSICIAN SERVICES LLC LOUISVILLE KY $51K
GENESIS ELDERCARE PHYSICIAN SERVICES LLC RUTLAND VT $43K
GENESIS ELDERCARE PHYSICIAN SERVICES LLC FREDERICKSBURG VA $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 779 $2K
2019 1,252 $2K
2020 1,573 $3K
2021 873 $2K
2022 298 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 4,220 2,115 $10K
99497 14 12 $108.56
99308 Subsequent nursing facility care, per day, straightforward 464 343 $89.00
99305 14 13 $71.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 46 46 $0.00
99306 Prolong nursin fac eval 15m 17 15 $0.00