Providers
All 15 in RI
CARE CENTER RHODE ISLAND LLC
NPI 1225549298, organization, East Providence, RI, Family Medicine, Addiction Medicine
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since December 1, 2017.
- Medicaid still paid claims in 67 later months, $270,468 in total.
score 95 of 100, rank 100, $270K at stake
Public list actions
Medicare revocation effective December 1, 2017, barred from re-enrolling until April 18, 2033
424.535(a)(4) false or misleading information and 424.535(a)(3) felonies, Part B Supplier - Clinic/Group Practice, RI
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(4) false or misleading information and 424.535(a)(3) felonies | Exact NPI, name verified | Dec 1, 2017 | Apr 18, 2033 | 67 | Apr 2018 | Oct 2023 | $270K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CARE CENTER RHODE ISLAND LLC |
| Type | Organization |
| Status | Active |
| NPI issued | October 18, 2017, last updated May 16, 2018 |
| Practice location | 400 WARREN AVE, East Providence, RI 02914, 401-431-9024 |
| Authorized official | LISA ROSSI (office manager) |
| Specialties | Clinic/Center (261Q00000X, license RI06534 RI) Clinic/Center, Health Services (261QH0100X, license RI06534 RI) Clinic/Center, Rehabilitation, Substance Use Disorder (261QR0405X, license RI06534 RI) Family Medicine, Addiction Medicine (207QA0401X, primary, license RI06534 RI) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $214K | 79% | $91 | $60 (top 5% from $133) | too few months to rank | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $30K | 11% | $57 | $44 (top 5% from $110) | too few months to rank | |
| 80305 | Testing for presence of drug, read by direct observation | $22K | 8% | $10 | $9.23 (top 5% from $22) | too few months to rank | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $3K | 1% | $137 | $128 (top 5% from $249) | too few months to rank | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $1K | 0% | $34 | $28 (top 5% from $147) | too few months to rank | |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $783 | 0% | $21 | $16 (top 5% from $128) | too few months to rank |
In this area
15 providers in Providence County, RI carry an indicator in the public record, with $29.4M at stake between them. The most common is more hours than a day holds, on 8 of them, followed by part of a provider network on 6.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | BEACON HOSPICE, LLC East Providence, RI, ranked 989 | $1.7M |
|
| 3 | CORTLAND PLACE REHAB CENTER LLC Greenville, RI, ranked 1385 | $75K |
|
| 3 | OVERLOOK EDEN OPERATIONS, LLC Pascoag, RI, ranked 3154 | $0 |
|
| 3 | VIOLET SNF HOLDCO LLC Pawtucket, RI, ranked 4230 | $0 |
|
| 3 | CL OPERATING LLC Pascoag, RI, ranked 4389 | $0 |
|
| 3 | FRIENDLY EDEN OPERATIONS LLC Woonsocket, RI, ranked 7098 | $0 |
|
| 4 | CATHERINE ALLEN Providence, RI, ranked 7285 | $7.2M |
|
| 4 | PAULO PINA Providence, RI, ranked 7365 | $12.0M |
|
Recent enforcement in RI
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedJun 24, 2026
Two Charged in District of Rhode Island as Part of National Fraud Takedown
Two defendants were charged by indictment with using the identity of another person to obtain benefits, including approximately $28,236.42 and $24,018.86 in Rhode Island Medicaid benefits.
DOJOtherFeb 17, 2026
Zynex, Inc. Agrees to Criminal Resolution Addressing Claims of Millions of Dollars of Health Care Fraud, Securities Fraud and Related Offenses
Zynex admitted to submitting excessive and improper claims for medical devices and supplies, including medically unnecessary electrode supplies in excess quantities, to government and private health care payors and patients, and to concealing from investors that its revenues were driven by fraudulent billing.
DOJIndictedJan 21, 2026
Former Zynex, Inc. Executives Charged with Health Care and Securities Fraud and Related Offenses
The indictment alleges that from at least 2017 through late 2025 the former CEO and COO of Zynex, Inc. caused the company to submit fraudulent billings to government and private health care payors and patients for medical devices and supplies that were not medically necessary, not covered, and not agreed to by patients, and used those billings to inflate the company's financial reporting and stock price.
DOJIndictedApr 7, 2025
Pain Management Clinic Owners and Operators Indicted on Health Care Fraud Charges
The owners and operators of a pain management clinic allegedly submitted fraudulent claims to Medicare, Medicare Advantage, Medicaid Managed Care, and four private insurers for purportedly medically necessary services, including acupuncture, physical therapy, and office visits, that were not actually provided to patients, in order to collect payment for massage therapy and other services not provided.
DOJSentencedMar 5, 2025
Addiction Treatment Center Supervisor Sentenced in Scheme to Defraud Federal, State, and Private Health Care Insurers
A clinical social worker supervisor at an addiction treatment center devised and executed a scheme to submit false claims for 45-minute psychotherapy and counseling sessions that lasted only 5-10 minutes or did not occur as billed, defrauding Medicare, Medicaid, and other health insurers of more than $3.5 million.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.