Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › RI › Providence › NPI 1588659528
Hospital

Rhode Island Hospital

Rhode Island Hospital was paid $380.77M by Medicaid between Jan 2018 and Dec 2024, across 667 billing codes. Its largest line is G0378, Hospital observation service, per hour — 5.8% of everything it billed.

33Billing provider infoRHODE ISLAND HOSPITAL
PROVIDENCE, RI 02903
33aNPI1588659528assigned 09/15/2005
28Total paid$380.77M
24GClaims2,167,654
24DCodes billed667
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Rhode Island

Rank by total paid#1 of 11
Median peer was paid$12.56M
This provider vs. median30×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MARKELL, PETER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0M$10M$15M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018518,483$74.65M
2019581,234$108.82M
2020238,156$45.44M
2021272,370$45.23M
2022210,911$36.26M
2023184,931$36.72M
2024incomplete161,569$33.66M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0378 Hospital observation service, per hour 5.8% 10,050 8,149 $22.20M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.6% 24,695 21,069 $21.21M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.4% 34,990 30,650 $20.73M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.7% 53,269 45,169 $17.87M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 4.2% 3,819 3,148 $15.86M
90999 Dialysis (unlisted procedure)Unlisted dialysis procedure, inpatient or outpatient 2.7% 11,754 802 $10.39M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 2.1% 7,740 664 $7.89M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 1.9% 2,410 2,097 $7.30M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.8% 16,034 8,430 $6.93M
J9271 Injection, pembrolizumab, 1 mg 1.7% 1,116 663 $6.49M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1.5% 47,354 37,964 $5.83M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.4% 4,858 4,045 $5.41M
655 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.4% 84,047 $5.19M
96375 Therapeutic injection; each additional sequential IV push 1.3% 26,034 $5.06M
77386 1.3% 3,954 $5.05M
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 1.2% 15,952 $4.56M
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1.2% 13,979 $4.54M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.1% 21,223 $4.37M
99213 Doctor's office visit, returning patient (routine) 1.1% 46,258 $4.28M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1.1% 2,453 $4.25M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 34,725 $3.41M
80053 Comprehensive metabolic panel <1% 37,443 $3.40M
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 22,368 $3.39M
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 12,428 $3.33M
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 36,838 $3.26M
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 17,685 $3.26M
96361 Intravenous infusion, hydration; each additional hour <1% 12,285 $3.18M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 4,569 $3.18M
J7050 Infusion, normal saline solution, 250 cc <1% 9,568 $2.91M
96367 <1% 7,413 $2.83M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 16,424 $2.74M
80048 Basic metabolic panel (calcium, ionized) <1% 32,060 $2.74M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 38,536 $2.70M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 25,336 $2.66M
J0690 Injection, cefazolin sodium, 500 mg <1% 4,823 $2.38M
83735 <1% 20,697 $2.06M
82248 <1% 27,362 $1.99M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 6,010 $1.96M
99215 Doctor's office visit, returning patient (complex) <1% 12,433 $1.93M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 4,445 $1.90M
J2704 Injection, propofol, 10 mg <1% 10,033 $1.86M
J7030 Infusion, normal saline solution , 1000 cc <1% 10,889 $1.81M
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 6,993 $1.76M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 14,531 $1.75M
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 6,912 $1.74M
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 4,078 $1.73M
82948 <1% 17,020 $1.70M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 12,081 $1.67M
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,441 $1.63M
99204 Doctor's office visit, new patient (more involved) <1% 8,324 $1.57M
J1170 Injection, hydromorphone, up to 4 mg <1% 6,494 $1.56M
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 10,134 $1.55M
J3490 Unclassified drugs <1% 6,177 $1.54M
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 6,048 $1.51M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 8,448 $1.49M
71046 Radiologic examination, chest; 2 views <1% 14,326 $1.48M
70450 Computed tomography, head or brain; without contrast material <1% 7,550 $1.44M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,634 $1.43M
70551 Magnetic resonance imaging, brain; without contrast material <1% 2,681 $1.39M
96417 <1% 2,843 $1.37M
84484 <1% 10,586 $1.36M
85027 <1% 26,194 $1.27M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 13,470 $1.27M
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 1,596 $1.27M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 9,855 $1.24M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 13,321 $1.22M
85610 <1% 18,946 $1.20M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 5,944 $1.20M
96415 <1% 4,736 $1.18M
81003 <1% 18,191 $1.18M
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 3,999 $1.15M
J2469 Injection, palonosetron hcl, 25 mcg <1% 2,999 $1.12M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 13,840 $1.10M
77336 <1% 2,544 $1.07M
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,980 $1.03M
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 13,143 $1.01M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 13,348 $1.00M
77334 <1% 1,415 $978K
83690 <1% 10,358 $968K
81001 <1% 15,085 $949K
J2270 Injection, morphine sulfate, up to 10 mg <1% 6,919 $933K
86850 <1% 11,569 $928K
86900 <1% 11,748 $915K
36415 Collection of venous blood by venipuncture <1% 45,885 $903K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 2,459 $898K
86901 <1% 11,689 $893K
84100 <1% 11,542 $885K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 12,382 $872K
99205 Prolong outpt/office vis <1% 3,752 $863K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 7,223 $811K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 5,679 $809K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,846 $798K
J9299 Injection, nivolumab, 1 mg <1% 146 $782K
93975 <1% 2,891 $782K
96376 <1% 6,255 $773K
99203 Doctor's office visit, new patient (routine) <1% 5,652 $761K
J2505 Injection, pegfilgrastim, 6 mg <1% 266 $758K
85730 <1% 8,206 $749K
90791 Psychiatric diagnostic evaluation <1% 4,574 $741K
64644 <1% 660 $721K
72125 Computed tomography, cervical spine; without contrast material <1% 4,565 $717K
97113 <1% 6,986 $694K
84443 Thyroid stimulating hormone (TSH) <1% 14,535 $694K
77300 <1% 849 $691K
71045 Radiologic examination, chest; single view <1% 4,869 $686K
97803 <1% 7,783 $680K
83036 Hemoglobin; glycosylated (A1C) <1% 24,623 $676K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 5,608 $675K
78815 Positron emission tomography (PET) for limited area imaging <1% 891 $667K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg <1% 480 $662K
97802 <1% 4,587 $657K
76770 <1% 4,648 $655K
85007 <1% 12,101 $634K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 4,477 $621K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 4,258 $620K
83605 <1% 3,720 $616K
96910 <1% 8,807 $606K
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) <1% 3,512 $593K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 2,945 $584K
J1644 Injection, heparin sodium, per 1000 units <1% 2,309 $581K
72141 <1% 1,219 $545K
74183 <1% 619 $541K
82565 <1% 16,270 $529K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 728 $526K
96411 <1% 1,204 $524K
P9016 Red blood cells, leukocytes reduced, each unit <1% 1,658 $517K
82310 <1% 10,419 $513K
80076 <1% 15,604 $506K
96416 <1% 1,419 $505K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,723 $505K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 5,150 $505K
97161 <1% 4,317 $502K
84703 <1% 5,237 $499K
92523 <1% 2,078 $496K
99218 <1% 2,382 $494K
97162 <1% 3,560 $486K
84520 <1% 14,982 $481K
80061 Lipid panel <1% 10,512 $477K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 8,070 $474K
80051 <1% 10,262 $472K
82728 <1% 14,123 $469K
82805 <1% 2,685 $468K
86140 <1% 15,203 $463K
87086 Culture, bacterial; quantitative colony count, urine <1% 8,280 $460K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 6,673 $453K
80050 General health panel <1% 4,766 $450K
81025 <1% 8,351 $449K
J9190 Injection, fluorouracil, 500 mg <1% 1,152 $442K
95782 <1% 264 $422K
C1769 Guide wire <1% 663 $414K
72158 <1% 441 $406K
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,796 $401K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,275 $396K
82947 <1% 4,388 $385K
J1453 Injection, fosaprepitant, 1 mg <1% 568 $385K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 832 $378K
77412 <1% 2,391 $376K
85651 <1% 14,466 $370K
36430 <1% 1,800 $365K
84295 <1% 2,711 $363K
94010 <1% 3,845 $361K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 2,657 $358K
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,125 $356K
73610 <1% 5,332 $356K
J2060 Injection, lorazepam, 2 mg <1% 2,008 $354K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 782 $352K
99153 Mod sedat endo service >5yrs <1% 1,255 $352K
71250 <1% 1,681 $348K
J9312 Injection, rituximab, 10 mg <1% 57 $343K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 2,779 $340K
84132 <1% 2,685 $327K
96127 <1% 8,377 $323K
99152 <1% 1,136 $323K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,849 $312K
84460 <1% 11,780 $312K
73560 <1% 4,080 $310K
72146 <1% 493 $307K
83880 <1% 2,128 $306K
72131 <1% 1,669 $303K
94060 <1% 1,636 $302K
84450 <1% 11,203 $293K
93325 <1% 1,827 $289K
95812 <1% 860 $285K
86780 <1% 4,661 $284K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,117 $281K
J1756 Injection, iron sucrose, 1 mg <1% 3,529 $279K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,042 $278K
76536 <1% 2,427 $276K
93041 <1% 2,931 $273K
J3380 Injection, vedolizumab, intravenous, 1 mg <1% 50 $265K
90461 <1% 4,392 $262K
62323 <1% 502 $257K
83970 <1% 2,782 $254K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,839 $254K
A9585 Injection, gadobutrol, 0.1 ml <1% 1,857 $251K
86803 <1% 4,074 $247K
J9045 Injection, carboplatin, 50 mg <1% 252 $245K
97166 <1% 1,778 $242K
82040 <1% 6,373 $240K
90847 Family psychotherapy with the patient present, 50 minutes <1% 2,598 $237K
73630 <1% 3,724 $237K
73130 <1% 2,468 $231K
84439 <1% 6,034 $229K
70498 <1% 915 $225K
J1815 Injection, insulin, per 5 units <1% 617 $225K
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 2,077 $225K
99173 <1% 3,433 $221K
82247 <1% 5,987 $220K
J9263 Injection, oxaliplatin, 0.5 mg <1% 242 $220K
83550 <1% 8,913 $219K
87040 <1% 1,636 $216K
72156 <1% 193 $216K
84155 <1% 5,517 $216K
84075 <1% 5,272 $215K
82607 <1% 4,580 $215K
93226 <1% 994 $212K
87340 <1% 3,180 $211K
73590 <1% 2,901 $211K
72128 <1% 1,218 $206K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 4,742 $203K
44970 <1% 98 $203K
90715 <1% 1,418 $194K
J8540 Dexamethasone, oral, 0.25 mg <1% 1,655 $194K
73110 <1% 2,275 $193K
73030 <1% 2,564 $190K
83540 <1% 9,248 $188K
99232 Hospital visit by a doctor, follow-up day <1% 2,651 $188K
87088 <1% 2,745 $187K
87186 <1% 3,354 $185K
82330 <1% 1,298 $185K
82784 <1% 4,763 $183K
92526 <1% 2,110 $181K
94760 <1% 5,374 $179K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,911 $178K
86481 <1% 1,566 $178K
88304 <1% 1,320 $177K
83655 <1% 8,004 $175K
87077 <1% 3,671 $173K
90870 <1% 807 $172K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 2,663 $168K
72100 <1% 1,977 $166K
77295 <1% 74 $161K
88342 <1% 988 $160K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 787 $160K
70486 <1% 937 $159K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 12,862 $159K
82550 <1% 2,824 $159K
83615 <1% 4,636 $158K
72082 <1% 1,789 $156K
97535 Self-care/home management training, each 15 minutes <1% 2,802 $155K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,325 $154K
76870 <1% 1,114 $154K
76642 <1% 1,573 $154K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 2,185 $153K
73090 <1% 2,004 $152K
95816 <1% 550 $152K
86706 <1% 3,006 $151K
92588 <1% 1,234 $149K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 731 $148K
86704 <1% 1,846 $147K
85379 <1% 1,412 $147K
93320 <1% 1,060 $145K
87070 <1% 3,623 $144K
93017 <1% 847 $143K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 990 $142K
70496 <1% 559 $139K
87640 <1% 2,433 $138K
87641 <1% 2,454 $135K
99358 Prolong nursin fac eval 15m <1% 1,182 $134K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,492 $133K
31575 <1% 429 $133K
95806 <1% 277 $132K
74018 <1% 2,159 $132K
73080 <1% 1,685 $129K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 154 $128K
86923 <1% 720 $128K
87205 <1% 3,329 $128K
97165 <1% 1,057 $126K
87481 <1% 597 $126K
99170 <1% 641 $125K
77290 <1% 195 $124K
73552 <1% 1,733 $123K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg <1% 53 $121K
J0780 Injection, prochlorperazine, up to 10 mg <1% 598 $119K
77301 <1% 37 $118K
72157 <1% 109 $117K
86003 <1% 758 $114K
73502 <1% 1,398 $114K
95886 <1% 779 $112K
99235 <1% 517 $112K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 771 $111K
96523 <1% 718 $111K
93971 <1% 722 $111K
92567 <1% 3,286 $110K
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 613 $109K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 706 $107K
87015 <1% 889 $107K
J9035 Injection, bevacizumab, 10 mg <1% 25 $106K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 747 $106K
80047 <1% 576 $105K
92610 <1% 711 $104K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 784 $104K
92557 <1% 1,261 $101K
94761 <1% 216 $101K
86708 <1% 912 $99K
83516 <1% 2,681 $99K
88341 <1% 448 $99K
96112 <1% 491 $99K
96402 <1% 476 $98K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,070 $98K
72170 <1% 1,305 $97K
77066 Tomosynthesis, mammo <1% 612 $94K
99238 Hospital discharge day management, 30 minutes or less <1% 1,092 $94K
70491 <1% 281 $93K
86787 <1% 789 $93K
73060 <1% 962 $92K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 824 $91K
85660 <1% 911 $90K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,026 $90K
J0640 Injection, leucovorin calcium, per 50 mg <1% 262 $88K
92579 <1% 1,371 $88K
72197 <1% 88 $87K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 7,973 $86K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,856 $86K
82465 <1% 4,630 $85K
96900 <1% 655 $85K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 190 $83K
85014 <1% 2,247 $82K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 560 $81K
76830 Ultrasound, transvaginal <1% 526 $81K
87505 <1% 539 $81K
83718 <1% 3,760 $80K
82378 <1% 894 $79K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 578 $78K
20610 <1% 339 $75K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 1,587 $74K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 348 $74K
73100 <1% 1,486 $74K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,843 $70K
96161 <1% 3,076 $68K
96409 <1% 436 $68K
84403 <1% 1,149 $68K
90686 <1% 958 $68K
77338 <1% 58 $67K
76885 <1% 654 $66K
93271 <1% 394 $66K
90846 Family psychotherapy without the patient present, 50 minutes <1% 613 $65K
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg <1% 71 $64K
99222 Initial hospital care, per day, moderate complexity <1% 458 $64K
84480 <1% 1,251 $63K
81415 <1% 31 $63K
A4550 Surgical trays <1% 354 $61K
J1750 Injection, iron dextran, 50 mg <1% 163 $61K
86038 <1% 1,525 $61K
85045 <1% 4,739 $60K
84153 <1% 1,512 $60K
92551 <1% 1,500 $59K
87081 <1% 214 $58K
84165 <1% 825 $58K
82570 <1% 1,676 $58K
87522 Neg quan hep c or qual rna <1% 582 $56K
87507 <1% 114 $56K
94729 <1% 828 $55K
82043 <1% 4,224 $55K
92134 <1% 556 $53K
72040 <1% 1,030 $52K
J2501 Injection, paricalcitol, 1 mcg <1% 6,169 $51K
95908 <1% 337 $51K
84156 <1% 1,457 $49K
86480 <1% 495 $49K
94727 <1% 825 $49K
99221 <1% 254 $49K
73564 <1% 770 $48K
G0008 Administration of influenza virus vaccine <1% 899 $47K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,297 $47K
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 142 $47K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 133 $46K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 82 $45K
92585 <1% 262 $45K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 103 $44K
86618 <1% 475 $44K
87536 <1% 194 $42K
96111 <1% 375 $41K
51701 <1% 266 $41K
99417 Prolong home eval add 15m <1% 830 $40K
82977 <1% 2,104 $40K
J2997 Injection, alteplase recombinant, 1 mg <1% 179 $40K
11045 <1% 132 $40K
95910 <1% 160 $40K
83001 <1% 900 $39K
73000 <1% 408 $38K
82140 <1% 270 $38K
85018 <1% 2,347 $38K
87207 <1% 244 $38K
81514 <1% 107 $36K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg <1% 116 $36K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 320 $36K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 288 $35K
83002 <1% 829 $34K
84702 <1% 427 $34K
82746 <1% 685 $34K
82670 <1% 588 $34K
64645 <1% 364 $33K
87480 <1% 606 $33K
87510 <1% 606 $33K
64646 <1% 15 $33K
J9370 Vincristine sulfate, 1 mg <1% 100 $33K
77072 <1% 729 $33K
83883 <1% 584 $32K
80197 <1% 1,558 $32K
73070 <1% 701 $32K
76981 <1% 265 $31K
95819 <1% 106 $31K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 439 $31K
84402 <1% 625 $31K
82955 <1% 242 $31K
J1630 Injection, haloperidol, up to 5 mg <1% 210 $31K
96101 <1% 54 $30K
87660 <1% 602 $30K
93321 <1% 412 $29K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 595 $29K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 424 $29K
77065 Tomosynthesis, mammo <1% 263 $29K
87631 <1% 149 $28K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 544 $28K
95885 <1% 393 $28K
92611 <1% 232 $28K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 246 $28K
86360 <1% 305 $26K
64643 <1% 95 $26K
82435 <1% 189 $26K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 60 $26K
72081 <1% 480 $26K
99174 <1% 321 $26K
76857 <1% 331 $25K
84550 <1% 1,565 $25K
86364 <1% 1,119 $25K
76882 <1% 384 $25K
84146 <1% 566 $24K
88307 <1% 162 $24K
74019 <1% 332 $24K
93225 <1% 234 $24K
82105 <1% 626 $24K
80177 <1% 232 $24K
74230 <1% 231 $24K
88173 <1% 197 $24K
36591 <1% 169 $23K
91200 <1% 205 $23K
95873 <1% 181 $23K
70544 <1% 52 $21K
72110 <1% 217 $21K
82747 <1% 446 $21K
83921 <1% 450 $21K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 60 $20K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 76 $20K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 17 $20K
96368 <1% 110 $18K
86160 <1% 329 $18K
ATP08 <1% 2,826 $18K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 38 $18K
74174 <1% 40 $18K
83030 <1% 932 $17K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 34 $17K
86765 <1% 259 $17K
86359 <1% 304 $17K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 25 $16K
0002A <1% 716 $16K
88185 <1% 66 $16K
92083 <1% 188 $16K
97116 <1% 178 $16K
82272 <1% 282 $15K
86735 <1% 243 $15K
89051 <1% 115 $15K
86334 <1% 241 $15K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 117 $15K
82139 <1% 424 $15K
86665 <1% 207 $15K
95909 <1% 83 $15K
72070 <1% 227 $15K
G1011 Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program <1% 215 $15K
97750 <1% 225 $14K
86682 <1% 108 $14K
76506 <1% 127 $14K
20552 <1% 16 $14K
0001A <1% 769 $14K
J3489 Injection, zoledronic acid, 1 mg <1% 28 $14K
90675 <1% 55 $13K
96160 <1% 255 $13K
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 301 $13K
82150 <1% 484 $13K
80074 <1% 135 $12K
80164 <1% 171 $12K
86147 <1% 88 $12K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 585 $12K
36593 <1% 88 $12K
70360 <1% 258 $12K
J2785 Injection, regadenoson, 0.1 mg <1% 39 $12K
87206 <1% 525 $11K
90832 Psychotherapy session, about 30 minutes <1% 313 $11K
87209 <1% 89 $11K
83721 <1% 530 $11K
86762 <1% 136 $11K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 65 $11K
87075 <1% 213 $11K
92133 <1% 180 $11K
87177 <1% 89 $10K
86141 <1% 324 $10K
87338 <1% 394 $10K
90834 Psychotherapy session, about 45 minutes <1% 172 $10K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 135 $10K
92582 <1% 233 $10K
87799 <1% 114 $10K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 221 $10K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring <1% 42 $10K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 45 $10K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 125 $9K
51798 <1% 222 $9K
81416 <1% 13 $9K
82652 <1% 118 $9K
86235 <1% 117 $9K
ATP15 <1% 1,110 $9K
83993 <1% 268 $9K
93042 <1% 921 $8K
93270 <1% 107 $8K
83020 <1% 219 $8K
73562 <1% 213 $8K
90472 Immunization administration, each additional vaccine (list separately) <1% 165 $8K
99223 Prolong inpt eval add15 m <1% 61 $8K
0124A <1% 219 $8K
96131 <1% 36 $8K
82397 <1% 220 $8K
82533 <1% 150 $7K
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 288 $7K
85240 <1% 184 $7K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 21 $7K
12011 <1% 50 $7K
73140 <1% 152 $7K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 163 $7K
86664 <1% 203 $7K
83520 <1% 209 $6K
88184 <1% 65 $6K
85246 <1% 128 $6K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg <1% 137 $6K
74241 <1% 37 $6K
86800 <1% 195 $6K
73521 <1% 128 $6K
86146 <1% 62 $6K
ATP07 <1% 1,285 $6K
86376 <1% 193 $6K
86039 <1% 176 $6K
84305 <1% 119 $6K
77280 <1% 26 $6K
86663 <1% 203 $6K
87493 <1% 17 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 374 $5K
85060 <1% 243 $5K
92550 <1% 195 $5K
83021 <1% 107 $5K
70355 <1% 43 $5K
64615 <1% 26 $5K
V5011 Fitting/orientation/checking of hearing aid <1% 26 $5K
90662 <1% 317 $5K
84466 <1% 187 $5K
82010 <1% 85 $5K
82785 <1% 133 $5K
29125 <1% 39 $5K
90480 <1% 106 $4K
81206 <1% 19 $4K
86592 <1% 86 $4K
85384 <1% 60 $4K
72190 <1% 64 $4K
85245 <1% 75 $4K
J3480 Injection, potassium chloride, per 2 meq <1% 34 $4K
J1171 Injection, hydromorphone, 0.1 mg <1% 13 $3K
82787 <1% 35 $3K
93970 <1% 19 $3K
91065 <1% 22 $3K
96380 <1% 87 $3K
84270 <1% 45 $3K
87184 <1% 93 $3K
0031A <1% 100 $3K
12001 <1% 27 $3K
C9113 Injection, pantoprazole sodium, per vial <1% 17 $3K
83010 <1% 88 $3K
82374 <1% 61 $3K
76937 <1% 18 $3K
J3370 Injection, vancomycin hcl, 500 mg <1% 92 $3K
90714 <1% 15 $2K
J1071 Injection, testosterone cypionate, 1 mg <1% 321 $2K
96130 <1% 16 $2K
0154A <1% 88 $2K
0111A <1% 96 $2K
0250 <1% 1,224 $2K
83519 <1% 70 $2K
87147 <1% 55 $2K
72050 <1% 27 $2K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 29 $2K
86225 <1% 79 $2K
86357 <1% 49 $2K
86355 <1% 49 $2K
84425 <1% 84 $2K
86308 <1% 38 $2K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 76 $2K
90713 <1% 12 $2K
84481 <1% 51 $2K
86580 <1% 199 $2K
86431 <1% 139 $2K
74221 <1% 14 $2K
99239 Hospital discharge day management, more than 30 minutes <1% 26 $2K
73120 <1% 22 $2K
97016 <1% 38 $2K
90670 <1% 62 $2K
99195 <1% 19 $2K
99443 <1% 38 $2K
V2632 Posterior chamber intraocular lens <1% 21 $2K
87102 <1% 79 $1K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 70 $1K
T1016 Case management, each 15 minutes <1% 25 $1K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 27 $1K
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 18 $1K
97755 <1% 14 $1K
86753 <1% 16 $1K
83090 <1% 44 $1K
83498 <1% 13 $1K
J1953 Injection, levetiracetam, 10 mg <1% 13 $1K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 16 $1K
82525 <1% 40 $986.76
84432 <1% 29 $925.64
92553 <1% 20 $924.86
94664 <1% 12 $912.52
88313 <1% 15 $829.07
99441 <1% 84 $795.86
84478 <1% 75 $781.70
90656 <1% 14 $773.96
J2550 Injection, promethazine hcl, up to 50 mg <1% 51 $755.44
77073 <1% 12 $753.82
97542 <1% 13 $741.99
82627 <1% 12 $681.83
92136 <1% 18 $652.36
80230 <1% 12 $622.32
J1940 Injection, furosemide, up to 20 mg <1% 20 $578.23
76514 <1% 28 $558.27
51702 <1% 21 $548.45
84134 <1% 17 $538.66
87650 <1% 15 $506.55
G0009 Administration of pneumococcal vaccine <1% 37 $491.78
80175 <1% 21 $438.02
86902 <1% 15 $411.65
88300 <1% 35 $400.05
J9255 Injection, methotrexate (accord), not therapeutically equivalent to j9260, 50 mg <1% 33 $328.33
92593 <1% 12 $321.30
80299 <1% 12 $287.32
86200 <1% 14 $280.90
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 50 $279.72
92025 <1% 18 $278.41
H2021 Community-based wrap-around services, per 15 minutes <1% 29 $273.66
99442 <1% 17 $255.19
99406 <1% 12 $228.96
ATP14 <1% 34 $208.41
ATP09 <1% 33 $189.46
82438 <1% 15 $151.03
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 37 $133.55
0003A <1% 19 $25.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 13 $7.04
90674 <1% 15 $6.52
99070 0% 16 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 24 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMARKELL, PETER (CFO)
Parent organizationLIFESPAN CORPORATION
Same official

Other billing entities under MARKELL, PETER

Full network →
ProviderLocationPaid
The Miriam HospitalProvidence, RI$138.58M
Gateway Healthcare INCPawtucket, RI$122.93M
Emma Pendleton Bradley HospitalRiverside, RI$37.64M
Newport HospitalNewport, RI$15.82M
Rhode Island HospitalProvidence, RI$13.22M
Lifespan Physician Group, INC.Warwick, RI$6.48M
Lifespan Physician Group, INC.Providence, RI$5.64M
Rhode Island HospitalProvidence, RI$5.32M
Emma Pendleton Bradley HospitalEast Providence, RI$5.03M
Lifespan Physician Group INCProvidence, RI$4.41M
Rhode Island HospitalProvidence, RI$3.97M
Newport HospitalNewport, RI$3.05M
Rhode Island HospitalEast Providence, RI$2.58M
Vna Technicare, INC.Providence, RI$2.52M
Rhode Island HospitalProvidence, 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, INCJohnston, RI$1.13M
Gateway Healthcare, INCCharlestown, RI$731K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.