Medicaid Provider Spending

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

THE MIRIAM HOSPITAL

NPI: 1598978744 · PROVIDENCE, RI 02906 · Cytopathology Physician · NPI assigned 05/07/2007

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

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

$174K
Total Medicaid Paid
4,832
Total Claims
3,944
Beneficiaries
12
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (E VP & CFO)
Parent OrganizationLIFESPAN CORPORATION
NPI Enumeration Date05/07/2007

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
2018 164 $229.14
2019 833 $14K
2020 286 $5K
2021 525 $11K
2022 1,079 $44K
2023 1,196 $63K
2024 749 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 2,473 1,890 $98K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,663 1,426 $49K
99222 Initial hospital care, per day, moderate complexity 98 96 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 121 117 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 104 99 $4K
88304 178 163 $3K
88342 28 25 $690.51
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 52 39 $585.52
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 13 12 $408.33
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $329.76
J1071 Injection, testosterone cypionate, 1 mg 65 41 $175.61
84165 25 24 $44.79