Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

EMMA PENDLETON BRADLEY HOSPITAL

Psychiatric Hospital·RIVERSIDE, RI·NPI: 1659576858Share
Active Billing Period:2018-012024-12(84 months)

Extreme procedure concentration — 100% of $37.6M billed through just 2 codes

Total Paid

$37.6M

$37,640,695

Total Claims

77K

Beneficiaries

2,575

30.1 claims/patient

Avg Cost/Claim

$486

Monthly Spending Trend

Yearly Spending

2018
$5.3M
+2%
2019
$5.4M
-24%
2020
$4.1M
+28%
2021
$5.3M
-7%
2022
$4.9M
+28%
2023
$6.2M
+5%
2024
$6.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 100% of total spending.

H0019Normal range

Behavioral health; residential, per diem

$37.6M

77K claims · 100.0%

Your Cost: $486.01/claim|Median: $357.16
1.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$1K

31 claims · 0.0%

Your Cost: $44.35/claim|Median: $169.17
0.3× median