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Women & Infants Hospital of Rhode Island

Clinic/Center, Ambulatory Family Planning Facility·Providence, RI·NPI: 1447233788Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$132.2M

$132,156,768

Total Claims

1.4M

Beneficiaries

1.0M

1.3 claims/patient

Avg Cost/Claim

$97

#868 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Women & Infants Hospital of Rhode Island is a Clinic/Center, Ambulatory Family Planning Facility provider based in Providence, RI. From the 2018–2024 period, this provider received $132.2M in Medicaid payments across 1.4M claims.

Why This Matters

This provider received $132.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,519 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 17% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$20.2M
+30%
2019
$26.3M
-38%
2020
$16.3M
+5%
2021
$17.2M
-0%
2022
$17.1M
+7%
2023
$18.3M
-8%
2024
$16.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 6% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$7.9M

9,479 claims · 5.9%

Your Cost: $828.59/claim|Median: $69.51
11.9× median
87491Top 1%

Chlamydia detection, nucleic acid, amplified probe

$6.3M

46K claims · 4.7%

Your Cost: $135.38/claim|Median: $24.95
5.4× median
87591Top 5%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$4.4M

46K claims · 3.3%

Your Cost: $96.14/claim|Median: $23.39
4.1× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$4.2M

24K claims · 3.2%

Your Cost: $173.32/claim|Median: $35.80
4.8× median
96413Top 5%

Chemotherapy administration, IV infusion, up to 1 hour

$3.4M

7,876 claims · 2.6%

Your Cost: $434.70/claim|Median: $75.28
5.8× median
76818Top 1%

$3.3M

13K claims · 2.5%

Your Cost: $251.26/claim|Median: $68.15
3.7× median
87624Top 5%

HPV detection, high-risk types, nucleic acid

$3.1M

32K claims · 2.3%

Your Cost: $95.75/claim|Median: $25.57
3.7× median
88175Top 5%

Cytopathology, cervical or vaginal, ThinPrep

$2.9M

46K claims · 2.2%

Your Cost: $62.82/claim|Median: $19.06
3.3× median
80307Top 1%

Drug test, presumptive, by chemistry analyzers

$2.5M

17K claims · 1.9%

Your Cost: $151.56/claim|Median: $35.43
4.3× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$2.4M

2,529 claims · 1.9%

Your Cost: $966.81/claim|Median: $85.65
11.3× median
96375Top 1%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$2.4M

7,550 claims · 1.8%

Your Cost: $317.20/claim|Median: $14.92
21.3× median
99283Top 1%

Emergency dept visit, moderate complexity

$2.4M

4,652 claims · 1.8%

Your Cost: $514.02/claim|Median: $42.48
12.1× median
G0378Top 1%

Hospital observation service, per hour

$2.3M

1,402 claims · 1.8%

Your Cost: $1,667.72/claim|Median: $99.39
16.8× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$2.2M

62K claims · 1.7%

Your Cost: $35.47/claim|Median: $4.71
7.5× median
76815Top 1%

Ultrasound, pregnant uterus, limited

$2.1M

11K claims · 1.6%

Your Cost: $196.07/claim|Median: $36.79
5.3× median
99211Top 25%

Office/outpatient visit, minimal complexity

$2.1M

62K claims · 1.6%

Your Cost: $33.67/claim|Median: $12.93
2.6× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$2.1M

21K claims · 1.6%

Your Cost: $97.16/claim|Median: $58.55
1.7× median
99218Top 1%

$2.1M

1,297 claims · 1.6%

Your Cost: $1,602.19/claim|Median: $51.50
31.1× median
59025Top 5%

Fetal non-stress test

$1.9M

9,721 claims · 1.5%

Your Cost: $199.81/claim|Median: $26.45
7.6× median
87389Top 5%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$1.9M

29K claims · 1.4%

Your Cost: $65.43/claim|Median: $18.03
3.6× median
76830Top 1%

Ultrasound, transvaginal

$1.8M

6,702 claims · 1.3%

Your Cost: $264.80/claim|Median: $57.47
4.6× median
77067Top 5%

Screening mammography, bilateral, including CAD

$1.7M

13K claims · 1.3%

Your Cost: $130.47/claim|Median: $39.33
3.3× median
76856Top 5%

Ultrasound, pelvic, complete

$1.6M

6,569 claims · 1.2%

Your Cost: $242.59/claim|Median: $47.58
5.1× median
86803Top 5%

Hepatitis C antibody

$1.6M

19K claims · 1.2%

Your Cost: $84.73/claim|Median: $10.17
8.3× median
G0463Top 25%

Hospital outpatient clinic visit

$1.6M

19K claims · 1.2%

Your Cost: $83.38/claim|Median: $26.41
3.2× median
87480Top 5%

$1.5M

21K claims · 1.1%

Your Cost: $71.51/claim|Median: $14.31
5.0× median
86850Top 5%

$1.5M

26K claims · 1.1%

Your Cost: $57.56/claim|Median: $5.44
10.6× median
76805Top 5%

Ultrasound, pregnant uterus, complete, single fetus

$1.5M

6,251 claims · 1.1%

Your Cost: $235.72/claim|Median: $74.78
3.2× median
84443Top 1%

Thyroid stimulating hormone (TSH)

$1.4M

16K claims · 1.0%

Your Cost: $84.22/claim|Median: $9.87
8.5× median
J9271Top 10%

Injection, pembrolizumab, 1 mg

$1.3M

115 claims · 0.9%

Your Cost: $10,912.29/claim|Median: $5,391.55
2.0× median

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$229.1M

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