Rhode Island Medicaid Spending
Rhode Island's Medicaid program paid $1.88B across 10 providers from 2018–2024. 7 providers in Rhode Island are flagged on our risk watchlist. The top procedure code is T2033 (Residential care, NOS; per diem) at $296.0M.
Total Spending
$1.88B
Total Claims
14.8M
Top Providers
10
Beneficiaries
8.3M
Flagged Providers
7
on risk watchlist
Avg Per Provider
$188.4M
across 10 providers
Yearly Spending Trend
Top Providers in Rhode Island
Rhode Island Hospital
General Acute Care Hospital · Providence
$380.8M
2.2M claims
Dominion Diagnostics, LLC
Clinical Medical Laboratory · North Kingstown
$249.2M
5.5M claims
The Fogarty Center
Day Training, Developmentally Disabled Services · Barrington
$224.3M
789K claims
Perspectives Corporation
Day Training Developmentally Disabled Services · North Kingstown
$182.9M
120K claims
The Providence Center INC
Counselor, Mental Health · Providence
$170.8M
1.6M claims
West Bay Residential Services Inc.
Day Training Developmentally Disabled Services · Warwick
$145.8M
70K claims
The Miriam Hospital
General Acute Care Hospital · Providence
$138.6M
2.2M claims
Looking Upwards Inc.
Day Training Developmentally Disabled Services · Portsmouth
$136.3M
205K claims
Women & Infants Hospital of Rhode Island
Clinic/Center, Ambulatory Family Planning Facility · Providence
$132.2M
1.4M claims
Gateway Healthcare INC
Day Training, Developmentally Disabled Services · Pawtucket
$122.9M
795K claims
Flagged Providers in Rhode Island
Rhode Island Hospital
$380.8M
1 flag
Dominion Diagnostics, LLC
$249.2M
1 flag
The Fogarty Center
$224.3M
1 flag
Perspectives Corporation
$108.9M
1 flag
West Bay Residential Services Inc.
$103.7M
1 flag
Re-focus Inc.
$61.9M
1 flag
The Providence Center
$5.9M
1 flag
Spending by Top Procedures
Top Procedures in Rhode Island
| Code | Total Paid |
|---|---|
| T2033 Residential care, NOS; per diem | $296.0M |
| T2017 Habilitation, residential, waiver; 15 min | $186.0M |
| H0037 Community psychiatric supportive treatment program, per diem | $136.1M |
| T2021 Day habilitation, waiver; per 15 min | $135.5M |
| 80307 Drug test, presumptive, by chemistry analyzers | $126.4M |
| G0480 Drug test, definitive, 1-7 drug classes | $92.3M |
| H0019 Behavioral health; residential, per diem | $62.7M |
| H0040 Assertive community treatment, face-to-face, per 15 minutes | $58.9M |
| 99284 Emergency dept visit, high complexity | $32.7M |
| 99285 Emergency dept visit, high/urgent complexity | $30.8M |
| G0378 Hospital observation service, per hour | $29.6M |
| G0481 Drug test, definitive, 8-14 drug classes | $25.1M |
| 99283 Emergency dept visit, moderate complexity | $22.0M |
| T2022 Case management, per month | $17.0M |
| J1745 Injection, infliximab, excludes biosimilar, 10 mg | $15.9M |