Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Rhode Island Hospital

Rhode Island Hospital was paid $127K by Medicaid between Jan 2020 and Aug 2022, across 11 billing codes. Its largest line is 0002A, — 23% of everything it billed.

33Billing provider infoRHODE ISLAND HOSPITAL
PROVIDENCE, RI 02905
33aNPI1972768174assigned 07/28/2008
28Total paid$127K
24GClaims2,932
24DCodes billed11
24AFirst – last monthJan 2020 – Aug 2022
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Rhode Island

Rank by total paid#12 of 16
Median peer was paid$208K
This provider vs. median0.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MARKELL, PETER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2020690$33K
20212,028$80K
2022214$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0002A 23% 734 264 $29K
0001A 21% 735 261 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 20% 801 716 $26K
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 17% 277 252 $22K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.9% 205 192 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination 5.7% 71 66 $7K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.3% 15 13 $2K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.1% 26 13 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 14 14 $741.44
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 29 28 $547.23
90686 <1% 25 15 $12.50

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, PETER (EVP & CFO)
Parent organizationLIFESPAN CORPORATION
Same official

Other billing entities under MARKELL, PETER

Full network →
ProviderLocationPaid
Rhode Island HospitalProvidence, RI$380.77M
The Miriam HospitalProvidence, RI$138.58M
Gateway Healthcare INCPawtucket, RI$122.93M
Emma Pendleton Bradley HospitalRiverside, RI$37.64M
Newport HospitalNewport, RI$15.82M
Rhode Island HospitalProvidence, RI$13.22M
Lifespan Physician Group, INC.Warwick, RI$6.48M
Lifespan Physician Group, INC.Providence, RI$5.64M
Rhode Island HospitalProvidence, RI$5.32M
Emma Pendleton Bradley HospitalEast Providence, RI$5.03M
Lifespan Physician Group INCProvidence, RI$4.41M
Rhode Island HospitalProvidence, RI$3.97M
Newport HospitalNewport, RI$3.05M
Rhode Island HospitalEast Providence, RI$2.58M
Vna Technicare, INC.Providence, RI$2.52M
Rhode Island HospitalProvidence, 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, INCJohnston, RI$1.13M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.