Medicaid Provider Spending

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

RHODE ISLAND HOSPITAL

NPI: 1972768174 · PROVIDENCE, RI 02905 · Multi-Specialty Clinic/Center · NPI assigned 07/28/2008

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

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

$127K
Total Medicaid Paid
2,932
Total Claims
1,834
Beneficiaries
11
Codes Billed
2020-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialMARKELL, PETER (EVP & CFO)
Parent OrganizationLIFESPAN CORPORATION
NPI Enumeration Date07/28/2008

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
RHODE ISLAND HOSPITAL PROVIDENCE RI $5.32M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 690 $33K
2021 2,028 $80K
2022 214 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 734 264 $29K
0001A 735 261 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 801 716 $26K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 277 252 $22K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 205 192 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination 71 66 $7K
99215 Prolong outpt/office vis 15 13 $2K
99232 Subsequent hospital care, per day, moderate complexity 26 13 $1K
99238 Hospital discharge day management, 30 minutes or less 14 14 $741.44
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 28 $547.23
90686 25 15 $12.50