Rhode Island Hospital
Rhode Island Hospital was paid $5.32M by Medicaid between Jun 2019 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoRHODE ISLAND HOSPITAL
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1861420333assigned 06/30/2006
33bProvider typePediatric Nutrition Registered Dietitian
28Total paid$5.32M
24GClaims40,736
24DCodes billed43
24AFirst – last monthJun 2019 – Dec 2024
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
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 | |
|---|---|---|---|
| 2019 | 45 | $3K | |
| 2020 | 19 | $720.35 | |
| 2021 | 2,747 | $304K | |
| 2022 | 11,806 | $1.50M | |
| 2023 | 13,877 | $1.84M | |
| 2024incomplete | 12,242 | $1.67M |
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 | 35% | 12,239 | 11,519 | $1.84M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 16% | 4,196 | 3,923 | $852K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 6,670 | 6,382 | $671K |
| 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 | 8.9% | 2,012 | 1,986 | $474K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 1,642 | 1,598 | $252K |
| 99205 | Prolong outpt/office vis | 3.8% | 688 | 677 | $202K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 1,431 | 1,393 | $106K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.0% | 621 | 588 | $104K |
| 99170 | 1.7% | 366 | 357 | $90K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.6% | 1,046 | 494 | $88K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.3% | 479 | 461 | $67K |
| 99417 | Prolong home eval add 15m | 1.2% | 874 | 785 | $63K |
31 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 397 | $61K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 426 | $61K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 411 | $58K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 343 | $45K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,277 | $41K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 300 | $38K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 655 | $31K |
| 90461 | <1% | 477 | $27K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,070 | $23K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 262 | $22K |
| 99443 | <1% | 354 | $20K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 117 | $18K |
| 90480 | <1% | 311 | $14K | |
| 90675 | <1% | 48 | $13K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 232 | $7K |
| 99235 | <1% | 24 | $5K | |
| 99442 | <1% | 138 | $5K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 63 | $5K |
| 99221 | <1% | 28 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 80 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 15 | $2K |
| 95251 | <1% | 30 | $2K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 32 | $1K |
| 96127 | <1% | 160 | $1K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 14 | $1K |
| 93784 | <1% | 12 | $921.12 | |
| 93325 | <1% | 57 | $521.86 | |
| 93320 | <1% | 14 | $276.07 | |
| 0072A | <1% | 14 | $253.12 | |
| 90686 | <1% | 99 | $49.50 | |
| 90656 | <1% | 12 | $6.00 |
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 (EVP & CFO)
| Provider | Location | 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.