Prospect Chartercare Physicians, LLC
Prospect Chartercare Physicians, LLC was paid $2.31M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoPROSPECT CHARTERCARE PHYSICIANS, LLC
CRANSTON, RI 02920
CRANSTON, RI 02920
33aNPI1629493135assigned 02/20/2014
33bProvider typeNutritionist
28Total paid$2.31M
24GClaims87,161
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ELDERS, ROBERT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,245 | $350K | |
| 2019 | 10,627 | $353K | |
| 2020 | 8,842 | $158K | |
| 2021 | 14,971 | $190K | |
| 2022 | 21,903 | $388K | |
| 2023 | 10,568 | $568K | |
| 2024incomplete | 8,005 | $305K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 18,371 | 16,239 | $721K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 21,724 | 18,718 | $620K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 11% | 1,443 | 1,387 | $255K |
| 62323 | 6.3% | 1,108 | 1,086 | $146K | |
| 99404 | 4.6% | 1,009 | 970 | $106K | |
| 97803 | 3.2% | 1,559 | 1,504 | $74K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.9% | 1,147 | 1,053 | $44K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.3% | 134 | 128 | $29K |
| 99205 | Prolong outpt/office vis | 1.2% | 197 | 186 | $29K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 508 | 487 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 697 | 591 | $26K |
| 93000 | 1.0% | 2,220 | 1,992 | $24K |
82 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 1,534 | $24K |
| 62321 | 1.0% | 166 | $23K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 79 | $20K |
| 99152 | <1% | 236 | $12K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,240 | $9K |
| 1036F | <1% | 3,447 | $9K | |
| 3008F | <1% | 3,543 | $8K | |
| 1160F | <1% | 4,160 | $8K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 106 | $7K |
| 1159F | <1% | 3,190 | $6K | |
| 99223 | Prolong inpt eval add15 m | <1% | 173 | $6K |
| 95251 | <1% | 232 | $6K | |
| 97802 | <1% | 72 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 487 | $4K |
| 3078F | <1% | 1,925 | $4K | |
| 3074F | <1% | 1,738 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 54 | $3K |
| 99443 | <1% | 95 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 565 | $3K |
| 43235 | <1% | 14 | $2K | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | <1% | 855 | $2K |
| 94729 | <1% | 218 | $2K | |
| 43644 | <1% | 13 | $2K | |
| 1126F | <1% | 833 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 158 | $2K |
| 94726 | <1% | 191 | $2K | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 630 | $2K |
| 4010F | <1% | 631 | $2K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 244 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 33 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | $2K |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 575 | $1K |
| 90480 | <1% | 44 | $1K | |
| 1220F | <1% | 596 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 139 | $1K |
| 82962 | <1% | 554 | $1K | |
| 3725F | <1% | 585 | $1K | |
| 3017F | <1% | 516 | $1K | |
| 3075F | <1% | 486 | $1K | |
| 3079F | <1% | 571 | $966.69 | |
| 83013 | <1% | 17 | $891.99 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 174 | $778.31 |
| 99401 | <1% | 49 | $750.32 | |
| 3288F | <1% | 692 | $721.39 | |
| 1100F | <1% | 144 | $645.45 | |
| 96127 | <1% | 198 | $529.76 | |
| 3014F | <1% | 265 | $516.08 | |
| 87400 | <1% | 61 | $493.04 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 138 | $468.60 |
| 3077F | <1% | 259 | $458.99 | |
| 4145F | <1% | 194 | $451.80 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 47 | $415.46 |
| 11100 | <1% | 17 | $415.24 | |
| 1170F | <1% | 435 | $407.38 | |
| 1101F | <1% | 85 | $329.53 | |
| 95816 | <1% | 12 | $324.91 | |
| 1125F | <1% | 404 | $305.00 | |
| 3044F | <1% | 111 | $301.30 | |
| 99442 | <1% | 49 | $287.84 | |
| 3080F | <1% | 16 | $257.52 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 29 | $257.22 |
| 94060 | <1% | 33 | $247.23 | |
| 94010 | <1% | 43 | $222.61 | |
| 99406 | <1% | 27 | $181.55 | |
| 83014 | <1% | 17 | $104.03 | |
| G0008 | Administration of influenza virus vaccine | <1% | 453 | $94.37 |
| 83037 | <1% | 12 | $86.24 | |
| 82270 | <1% | 29 | $70.66 | |
| 99000 | <1% | 29 | $61.80 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,048 | $53.78 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 24 | $47.64 |
| 4004F | <1% | 14 | $47.64 | |
| 99497 | <1% | 268 | $41.74 | |
| 3061F | <1% | 72 | $39.71 | |
| 1158F | <1% | 340 | $38.12 | |
| 81002 | <1% | 16 | $32.62 | |
| G8482 | Influenza immunization administered or previously received | <1% | 178 | $20.24 |
| 90686 | <1% | 15 | $19.60 | |
| 1111F | 0% | 18 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 17 | $0.00 |
| 0003A | 0% | 36 | $0.00 | |
| 0013A | 0% | 17 | $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 officialELDERS, ROBERT (SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Prospect Waterbury, INC. | Waterbury, CT | $84.62M |
| Prospect Manchester Hospital, INC. | Manchester, CT | $69.20M |
| Prospect Chartercare RWMC, LLC | Providence, RI | $57.10M |
| Prospect CCMC, LLC | Chester, PA | $40.89M |
| Prospect CT Medical Foundation, INC. | Manchester, CT | $34.07M |
| Prospect Rockville Hospital, INC. | Vernon, CT | $30.06M |
| Prospect Chartercare Sjhsri, LLC | North Providence, RI | $10.94M |
| Prospect DCMH, LLC | Drexel Hill, PA | $10.37M |
| Prospect CCMC, LLC | Chester, PA | $5.46M |
| Alta Los Angeles Hospitals, INC. | Los Angeles, CA | $5.42M |
| Prospect CCMC, LLC | Chester, PA | $5.03M |
| Prospect CCMC, LLC | Chester, PA | $3.71M |
| Prospect Echn Home Health, INC. | Vernon, CT | $1.75M |
| Prospect Waterbury Home Health, INC. | Watertown, CT | $1.30M |
| Prospect Health Access Network, INC. | Chester, PA | $1.22M |
| Alta Newport Hospital, LLC | Tustin, CA | $1.16M |
| Prospect Health Access Network, INC. | Crum Lynne, PA | $924K |
| Prospect Health Access Network, INC. | Chester, PA | $872K |
| Prospect Chartercare Sjhsri, LLC | North Providence, RI | $858K |
| Prospect Health Access Network, INC. | Drexel Hill, PA | $815K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.