Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Women and Infants Hospital

Women and Infants Hospital was paid $12.56M by Medicaid between Jan 2018 and Jun 2019, across 123 billing codes. Its largest line is 99284, emergency room visit (serious) — 15% of everything it billed.

33Billing provider infoWOMEN AND INFANTS HOSPITAL
PROVIDENCE, RI 02905
33aNPI1629218094assigned 02/25/2009
33bProvider typeGeneral Acute Care Hospital
28Total paid$12.56M
24GClaims88,734
24DCodes billed123
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers

Next to other General Acute Care Hospital providers in Rhode Island

Rank by total paid#6 of 11
Median peer was paid$12.56M
This provider vs. median1.0×

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.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
201856,224$7.75M
201932,510$4.80M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 15% 1,222 976 $1.88M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 1,343 1,071 $1.37M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5.9% 4,209 3,525 $743K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5.9% 4,195 3,516 $741K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.6% 890 729 $703K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 4.7% 4,551 3,918 $595K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 4.1% 2,888 2,470 $521K
88305 Level IV - Surgical pathology, gross and microscopic examination 3.0% 1,831 782 $373K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2.2% 2,499 2,070 $274K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2.1% 288 152 $266K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.7% 2,641 1,636 $208K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.6% 1,108 813 $200K
111 more codes
87150 1.5% 1,129 $190K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.5% 4,603 $184K
87480 1.5% 1,771 $183K
87660 1.5% 1,770 $182K
87510 1.4% 1,760 $181K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1.3% 1,231 $164K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.2% 840 $151K
86780 1.2% 2,394 $145K
77067 Screening mammography, bilateral, including computer-aided detection 1.1% 857 $137K
84443 Thyroid stimulating hormone (TSH) 1.0% 1,377 $128K
86480 <1% 423 $122K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 619 $121K
86803 <1% 1,526 $112K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 580 $105K
84702 <1% 1,238 $95K
87340 <1% 1,770 $94K
99218 <1% 41 $87K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,984 $80K
59025 Fetal non-stress test <1% 160 $80K
86762 <1% 1,036 $77K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,379 $77K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 425 $77K
76801 <1% 424 $76K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,907 $67K
82677 <1% 538 $66K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 354 $64K
82105 <1% 720 $62K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 342 $62K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 33 $61K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 201 $57K
76830 Ultrasound, transvaginal <1% 309 $55K
76818 <1% 304 $55K
80061 Lipid panel <1% 778 $53K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 295 $53K
86336 <1% 530 $42K
96375 Therapeutic injection; each additional sequential IV push <1% 87 $42K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 141 $42K
83036 Hemoglobin; glycosylated (A1C) <1% 805 $40K
87070 <1% 987 $40K
96040 <1% 225 $39K
86850 <1% 1,898 $38K
88141 <1% 762 $38K
77063 Screening digital breast tomosynthesis, bilateral <1% 851 $35K
76642 <1% 318 $30K
80076 <1% 710 $30K
99214 Doctor's office visit, returning patient (more involved) <1% 252 $30K
86901 <1% 1,889 $29K
86900 <1% 1,887 $29K
80048 Basic metabolic panel (calcium, ionized) <1% 666 $29K
81001 <1% 1,754 $29K
87088 <1% 741 $29K
92587 <1% 141 $27K
82728 <1% 374 $26K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 161 $26K
84163 <1% 329 $25K
82950 <1% 950 $23K
80053 Comprehensive metabolic panel <1% 408 $22K
92579 <1% 97 $20K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 71 $20K
86787 <1% 296 $20K
85027 <1% 587 $19K
87186 <1% 431 $19K
80050 General health panel <1% 102 $18K
83021 <1% 203 $17K
99203 Doctor's office visit, new patient (routine) <1% 111 $16K
82607 <1% 206 $16K
82565 <1% 578 $15K
83550 <1% 299 $13K
82951 <1% 184 $12K
92567 <1% 127 $12K
87077 <1% 256 $12K
84450 <1% 428 $11K
81025 <1% 314 $10K
82570 <1% 377 $10K
96415 <1% 20 $10K
84439 <1% 203 $9K
84146 <1% 91 $9K
87210 <1% 398 $9K
83001 <1% 88 $8K
93975 <1% 14 $8K
77066 Tomosynthesis, mammo <1% 41 $8K
77062 <1% 41 $8K
84156 <1% 378 $7K
77065 Tomosynthesis, mammo <1% 43 $6K
77061 <1% 42 $6K
83615 <1% 185 $6K
84460 <1% 209 $6K
82248 <1% 213 $5K
83735 <1% 156 $5K
82465 <1% 234 $5K
76813 <1% 28 $5K
99024 <1% 60 $4K
82947 <1% 208 $4K
84520 <1% 206 $4K
82247 <1% 151 $4K
80051 <1% 98 $4K
84550 <1% 139 $3K
81002 <1% 227 $3K
84100 <1% 109 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 29 $2K
82310 <1% 93 $2K
85610 <1% 122 $2K
83516 <1% 30 $2K
82952 <1% 111 $2K
81003 <1% 119 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 33 $1K
86140 <1% 40 $1K
82043 <1% 20 $594.80
85652 <1% 21 $291.48
90686 <1% 131 $1.31
90674 <1% 87 $0.87

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 officialMCOURT, MAUREEN (NURSE PRACTITIONER)