Medicaid Provider Spending

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

RHODE ISLAND HOSPITAL

NPI: 1861420333 · PROVIDENCE, RI 02903 · Pediatric Nutrition Registered Dietitian · NPI assigned 06/30/2006

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

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

$5.32M
Total Medicaid Paid
40,736
Total Claims
38,138
Beneficiaries
43
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
NPI Enumeration Date06/30/2006

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
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
2019 45 $3K
2020 19 $720.35
2021 2,747 $304K
2022 11,806 $1.50M
2023 13,877 $1.84M
2024 12,242 $1.67M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,239 11,519 $1.84M
99215 Prolong outpt/office vis 4,196 3,923 $852K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,670 6,382 $671K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,012 1,986 $474K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,642 1,598 $252K
99205 Prolong outpt/office vis 688 677 $202K
90460 Immunization administration through 18 years of age via any route, first or only component 1,431 1,393 $106K
99222 Initial hospital care, per day, moderate complexity 621 588 $104K
99170 366 357 $90K
99232 Subsequent hospital care, per day, moderate complexity 1,046 494 $88K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 479 461 $67K
99417 Prolong home eval add 15m 874 785 $63K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 397 386 $61K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 426 413 $61K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 411 396 $58K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 343 310 $45K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,277 1,193 $41K
99239 Hospital discharge day management, more than 30 minutes 300 290 $38K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 655 616 $31K
90461 477 461 $27K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,070 1,952 $23K
99238 Hospital discharge day management, 30 minutes or less 262 245 $22K
99443 354 342 $20K
90791 Psychiatric diagnostic evaluation 117 117 $18K
90480 311 303 $14K
90675 48 18 $13K
90472 Immunization administration, each additional vaccine (list separately) 232 220 $7K
99235 24 24 $5K
99442 138 132 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 63 62 $5K
99221 28 27 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 80 64 $2K
99233 Prolong inpt eval add15 m 15 12 $2K
95251 30 27 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 32 13 $1K
96127 160 159 $1K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 14 14 $1K
93784 12 12 $921.12
93325 57 56 $521.86
93320 14 14 $276.07
0072A 14 14 $253.12
90686 99 71 $49.50
90656 12 12 $6.00