Medicaid Provider Spending

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

SILVER SPRING HEALTH CARE MANAGEMENT, INC.

NPI: 1861561193 · WAKEFIELD, RI 02879 · Family Medicine Physician · NPI assigned 11/08/2006

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

Authorized official POLHEMUS, MARCIA controls 12+ related entities in our dataset. Read more

$28K
Total Medicaid Paid
1,149
Total Claims
871
Beneficiaries
12
Codes Billed
2018-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialPOLHEMUS, MARCIA (CONTROLLER)
NPI Enumeration Date11/08/2006

Related Entities

Other providers sharing the same authorized official: POLHEMUS, MARCIA

ProviderCityStateTotal Paid
SILVER SPRING HEALTH CARE MANAGEMENT, INC. EAST GREENWICH RI $230K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WARWICK RI $106K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. NARRAGANSETT RI $105K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WESTERLY RI $60K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WAKEFIELD RI $14K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WAKEFIELD RI $9K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WAKEFIELD RI $4K
SILVER SPRING HEALTH CARE MANAGEMENT, INC. NARRAGANSETT RI $3K
SILVER SPRING HEALTH CARE MANAGEMENT, INC WAKEFIELD RI $977.05
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WAKEFIELD RI $419.15
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WAKEFIELD RI $321.43
SILVER SPRING HEALTH CARE MANAGEMENT, INC. WAKEFIELD RI $63.99

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 495 $8K
2019 119 $2K
2020 247 $7K
2021 56 $278.10
2022 232 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 359 317 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 115 102 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 50 43 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 55 28 $770.00
99460 22 12 $657.14
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 114 88 $563.70
1000F 174 108 $119.12
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $109.57
99239 Hospital discharge day management, more than 30 minutes 53 48 $64.47
99232 Subsequent hospital care, per day, moderate complexity 97 41 $41.35
1126F 33 25 $27.00
3008F 65 47 $27.00