PROSPECT CHARTERCARE SJHSRI, LLC
NPI: 1588089759
· NORTH PROVIDENCE, RI 02904
· 104100000X
$858K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,030 |
$30K |
| 2019 |
5,426 |
$94K |
| 2020 |
3,730 |
$24K |
| 2021 |
5,375 |
$61K |
| 2022 |
7,860 |
$195K |
| 2023 |
8,284 |
$255K |
| 2024 |
6,285 |
$199K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
8,280 |
7,452 |
$278K |
| 99231 |
|
9,559 |
1,725 |
$119K |
| 99394 |
|
674 |
671 |
$66K |
| 90834 |
|
950 |
740 |
$62K |
| 99393 |
|
591 |
585 |
$49K |
| 99232 |
|
2,545 |
592 |
$49K |
| 99396 |
|
384 |
380 |
$33K |
| 90791 |
|
738 |
645 |
$31K |
| 90832 |
|
616 |
566 |
$26K |
| 99214 |
|
326 |
266 |
$16K |
| 90471 |
|
1,460 |
1,315 |
$16K |
| 99212 |
|
428 |
407 |
$15K |
| 99392 |
|
153 |
151 |
$13K |
| 99239 |
|
148 |
142 |
$11K |
| 90472 |
|
954 |
493 |
$11K |
| 99223 |
Prolong inpt eval add15 m |
74 |
72 |
$9K |
| 83037 |
|
575 |
574 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
600 |
167 |
$6K |
| 99238 |
|
109 |
106 |
$5K |
| 1160F |
|
1,566 |
1,356 |
$3K |
| 3008F |
|
1,443 |
1,286 |
$3K |
| 1036F |
|
1,560 |
1,344 |
$3K |
| 3078F |
|
1,242 |
1,102 |
$3K |
| 99211 |
|
159 |
149 |
$3K |
| 93000 |
|
163 |
155 |
$3K |
| 1159F |
|
1,331 |
1,136 |
$3K |
| 4004F |
|
1,336 |
1,156 |
$3K |
| 99222 |
|
101 |
89 |
$2K |
| 99395 |
|
25 |
25 |
$2K |
| 3077F |
|
700 |
608 |
$1K |
| H2016 |
Comp comm supp svc, per diem |
1,173 |
27 |
$1K |
| 93010 |
|
108 |
102 |
$584.21 |
| 90785 |
|
273 |
251 |
$355.26 |
| 3074F |
|
143 |
125 |
$326.54 |
| 3075F |
|
68 |
64 |
$280.08 |
| 4010F |
|
48 |
48 |
$269.56 |
| 1126F |
|
63 |
59 |
$263.00 |
| 1220F |
|
71 |
61 |
$229.41 |
| 82044 |
|
39 |
39 |
$223.67 |
| 3725F |
|
55 |
55 |
$171.63 |
| G9664 |
Taking statin or rec'd order |
43 |
43 |
$131.75 |
| 82962 |
|
33 |
30 |
$41.05 |
| G8510 |
Scr dep neg, no plan reqd |
26 |
26 |
$22.69 |
| 96127 |
|
12 |
12 |
$4.26 |
| 90686 |
|
45 |
45 |
$0.44 |