Rhode Island Hospital

Rhode Island Hospital was paid $5K by Medicaid between Jan 2018 and May 2020, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 57% of everything it billed.

33Billing provider infoRHODE ISLAND HOSPITAL
PROVIDENCE, RI 02903

33aNPI1902902364assigned 09/15/2006

33bProvider typeNeurology Physician

28Total paid$5K

24GClaims150

24DCodes billed4

24AFirst – last monthJan 2018 – May 2020

Compared with peers

Next to other Neurology Physician providers in Rhode Island

Rank by total paid#20 of 29

Median peer was paid$12K

This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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
2018	71	$2K
2019	31	$667.87
2020	48	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	57%	85	84	$3K
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	28%	28	25	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	13	13	$695.24
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	24	13	$36.27

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, PATER (EVP & CFO)