Medicaid Provider Spending

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

EMMA PENDLETON BRADLEY HOSPITAL

NPI: 1659576858 · RIVERSIDE, RI 02915 · Psychiatric Hospital · NPI assigned 06/18/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

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

$37.64M
Total Medicaid Paid
77,477
Total Claims
2,575
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
Parent OrganizationEMMA PENDELETON BRADLEY HOSPITAL
NPI Enumeration Date06/18/2007

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
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
GATEWAY HEALTHCARE, INC CHARLESTOWN RI $731K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,400 $5.31M
2019 14,603 $5.39M
2020 10,423 $4.11M
2021 10,932 $5.26M
2022 10,184 $4.87M
2023 10,566 $6.21M
2024 10,369 $6.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 77,446 2,552 $37.64M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 31 23 $1K