Medicaid Provider Spending

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

PROSPECT CHARTERCARE SJHSRI, LLC

NPI: 1871918870 · NORTH PROVIDENCE, RI 02904 · General Acute Care Hospital · NPI assigned 02/27/2014

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

Authorized official ELDERS, ROBERT controls 20+ related entities in our dataset. Read more

$10.94M
Total Medicaid Paid
293,481
Total Claims
207,116
Beneficiaries
208
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELDERS, ROBERT (SECRETARY)
NPI Enumeration Date02/27/2014

Related Entities

Other providers sharing the same authorized official: ELDERS, ROBERT

ProviderCityStateTotal 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 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 CHARTERCARE PHYSICIANS, LLC CRANSTON RI $2.31M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110,827 $3.42M
2019 123,201 $5.78M
2020 14,341 $498K
2021 11,889 $310K
2022 12,462 $286K
2023 12,641 $407K
2024 8,120 $230K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 3,716 2,406 $804K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 23,108 16,630 $524K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,390 997 $457K
36415 Collection of venous blood by venipuncture 12,061 9,671 $442K
80061 Lipid panel 15,068 11,256 $394K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 9,509 6,909 $365K
84443 Thyroid stimulating hormone (TSH) 14,377 10,297 $362K
80053 Comprehensive metabolic panel 17,118 12,389 $343K
80048 Basic metabolic panel (calcium, ionized) 9,198 6,877 $289K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,123 604 $286K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,271 3,901 $284K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5,260 3,354 $264K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,115 3,212 $253K
87660 2,142 1,417 $245K
99284 Emergency department visit for the evaluation and management, high severity 1,490 1,219 $242K
81001 12,821 9,237 $212K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 4,050 2,437 $153K
83036 Hemoglobin; glycosylated (A1C) 9,898 7,725 $149K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,299 858 $149K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,096 749 $132K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 978 736 $132K
87086 Culture, bacterial; quantitative colony count, urine 8,663 6,036 $125K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,737 455 $121K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,252 839 $117K
80076 3,329 2,533 $111K
82962 2,297 1,147 $109K
82607 4,841 3,720 $107K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,636 1,215 $103K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,077 770 $99K
71046 Radiologic examination, chest; 2 views 1,321 964 $89K
86141 1,230 894 $86K
85027 4,110 2,715 $86K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 416 285 $84K
84484 1,277 762 $81K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,020 980 $81K
96375 Therapeutic injection; each additional sequential IV push 497 353 $74K
82728 3,422 2,645 $74K
83690 1,667 1,155 $71K
87480 2,143 1,418 $64K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 458 326 $64K
83735 1,345 940 $61K
87510 2,064 1,341 $61K
84439 4,101 3,017 $60K
83880 507 355 $59K
86803 2,847 1,875 $59K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 987 251 $54K
G0378 Hospital observation service, per hour 226 107 $54K
J1885 Injection, ketorolac tromethamine, per 15 mg 693 547 $53K
84466 2,502 1,956 $52K
80050 General health panel 582 494 $52K
87186 2,449 1,664 $50K
85610 2,529 1,484 $50K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 594 576 $49K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 528 528 $48K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 971 585 $47K
82550 2,313 1,802 $47K
88305 Level IV - Surgical pathology, gross and microscopic examination 418 330 $46K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 498 370 $46K
80074 695 394 $45K
J3490 Unclassified drugs 608 548 $45K
J2250 Injection, midazolam hydrochloride, per 1 mg 494 328 $45K
82565 1,202 800 $45K
82043 3,881 2,976 $44K
87081 2,195 1,322 $43K
83540 3,306 2,487 $42K
77067 Screening mammography, bilateral, including computer-aided detection 432 277 $41K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 398 258 $40K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 540 383 $39K
81025 707 466 $36K
87070 1,087 785 $34K
41899 Unlisted procedure, dentoalveolar structures 13 13 $34K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,346 1,132 $32K
70450 Computed tomography, head or brain; without contrast material 300 225 $30K
84520 687 476 $30K
86706 1,849 1,084 $30K
85652 3,262 2,318 $30K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 370 362 $29K
87205 902 583 $27K
82947 902 588 $27K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 499 328 $27K
97162 293 211 $27K
82746 1,580 1,086 $26K
87077 1,230 807 $26K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,725 2,139 $25K
80051 522 361 $25K
86618 1,066 733 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,895 1,792 $24K
87340 1,509 900 $24K
86900 593 346 $24K
86901 593 346 $23K
74177 Computed tomography, abdomen and pelvis; with contrast material 110 50 $23K
99281 Emergency department visit for the evaluation and management, self-limited or minor 94 38 $23K
97597 168 89 $22K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 490 457 $22K
86850 565 334 $22K
84154 924 482 $22K
86592 2,210 1,213 $20K
84460 2,313 1,752 $19K
86038 1,000 674 $18K
90472 Immunization administration, each additional vaccine (list separately) 1,444 781 $18K
97530 Therapeutic activities, direct patient contact, each 15 minutes 377 126 $17K
83013 201 116 $17K
88142 1,203 743 $16K
86696 608 301 $15K
85730 761 548 $15K
97035 745 201 $14K
84100 341 264 $13K
J2270 Injection, morphine sulfate, up to 10 mg 140 73 $13K
84450 1,517 1,023 $12K
86694 560 269 $12K
86695 608 301 $12K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 393 384 $11K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 175 95 $11K
86762 525 285 $10K
83605 38 29 $10K
84703 346 238 $10K
84550 950 699 $10K
84480 512 356 $9K
J1170 Injection, hydromorphone, up to 4 mg 128 52 $9K
84702 336 198 $9K
82150 858 558 $9K
83721 373 245 $8K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 81 77 $8K
86787 441 233 $8K
84403 227 131 $7K
86704 407 234 $7K
84153 311 217 $7K
86765 377 207 $7K
86735 373 205 $7K
84145 22 12 $7K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 38 27 $7K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 80 77 $7K
J0690 Injection, cefazolin sodium, 500 mg 53 33 $7K
86431 669 427 $6K
85379 201 153 $6K
83655 830 498 $6K
82553 284 174 $5K
84436 551 352 $5K
88342 82 61 $5K
82274 81 79 $5K
86780 196 180 $5K
86665 201 78 $5K
84270 161 95 $5K
97167 72 61 $5K
84207 146 60 $5K
84146 134 80 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 48 48 $4K
83516 217 129 $4K
J0330 Injection, succinylcholine chloride, up to 20 mg 119 87 $4K
84252 142 55 $4K
86617 160 54 $3K
96361 Intravenous infusion, hydration; each additional hour 30 18 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 41 40 $3K
86705 192 80 $3K
92551 248 91 $3K
82040 363 199 $3K
84132 280 171 $3K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 33 33 $3K
83970 71 52 $3K
88112 17 15 $2K
73030 44 32 $2K
96127 196 175 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 43 39 $2K
85018 72 42 $2K
84425 211 114 $2K
71045 Radiologic examination, chest; single view 21 14 $2K
82977 201 84 $2K
86664 106 78 $2K
84481 239 133 $2K
85045 305 226 $2K
72100 55 29 $2K
76642 29 13 $2K
S5000 Prescription drug, generic 49 35 $2K
86663 106 78 $2K
82465 202 168 $2K
83525 93 52 $1K
J2060 Injection, lorazepam, 2 mg 21 18 $1K
84402 45 40 $1K
82248 80 69 $1K
97163 13 12 $1K
87430 63 24 $1K
86800 53 26 $1K
86480 23 12 $1K
86677 59 54 $1K
86376 50 30 $1K
83718 105 93 $1K
81002 159 47 $1K
86738 71 36 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 19 16 $896.10
84590 53 43 $890.46
87522 Neg quan hep c or qual rna 18 12 $853.85
J0696 Injection, ceftriaxone sodium, per 250 mg 28 12 $850.60
85014 46 25 $785.84
83001 30 30 $721.08
84075 54 43 $670.01
80164 38 28 $621.02
83615 18 17 $512.03
82670 12 12 $428.64
83520 12 12 $390.81
83002 16 16 $379.04
93000 14 13 $358.40
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 22 22 $327.85
G0103 Prostate cancer screening; prostate specific antigen test (psa) 13 13 $234.67
77063 Screening digital breast tomosynthesis, bilateral 12 12 $199.56
86200 12 12 $168.84
82270 13 13 $27.41
90686 16 13 $19.24
J0461 Injection, atropine sulfate, 0.01 mg 13 13 $0.00