Rhode Island Hospital
General Acute Care Hospital
Providence, Rhode Island
NPI: 1588659528
Risk Tier
Elevated
Total Paid
$380.8M
$380,766,370
Total Claims
2.2M
Beneficiaries
1.6M
Avg Cost/Claim
$175.66
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 532 procedure codes: G0378 at 22.2× median, 99285 at 10.0× median.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024