Providers
ELIZABETH A MORAN, M.D.
NPI 1588850549, individual, Block Island, RI, Family Medicine
5
Evidence tier
informational
score 31 of 100, rank 10741, $2.9M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ELIZABETH A MORAN, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | September 23, 2007, last updated August 14, 2026 |
| Practice location | 6 PAYNE ROAD, Block Island, RI 02807, 401-466-2974 |
| Mailing address | PO BOX 919, Block Island, RI 02807 |
| Specialties | Family Medicine (207Q00000X, primary, license MD20927 RI) Family Medicine (207Q00000X, license 36808 AZ) |
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 | |
|---|---|---|---|---|---|---|---|
| H2010 | Comprehensive medication services per 15 min | $2.6M | 65% | $112 | $230 (top 5% from $884) | 32nd percentile | |
| H0020 | Medicaid service code | $910K | 23% | $39 | $214 (top 5% from $529) | 17th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $291K | 7% | $71 | $60 (top 5% from $133) | 62nd percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $103K | 3% | $91 | $88 (top 5% from $210) | 52nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $41K | 1% | $56 | $44 (top 5% from $110) | 66th percentile | |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $20K | 0% | $18 | $11 (top 5% from $25) | 88th percentile | |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $10K | 0% | $94 | $128 (top 5% from $249) | 25th percentile | |
| 90471 | Administration of vaccine | $8K | 0% | $21 | $10 (top 5% from $23) | 92nd percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 14 | 13 | $624 | $270 | $125 | 2.2x | 2.3x (90th percentile 3.8x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
7 providers in Washington County, RI carry an indicator in the public record, with $5.4M at stake between them. The most common is part of a provider network, on 4 of them, followed by more hours than a day holds on 3.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ROYAL WESTERLY LLC Westerly, RI, ranked 3274 | $0 |
|
| 3 | THE CLIPPER HOME INC. Westerly, RI, ranked 4928 | $0 |
|
| 3 | 981 KINGS TOWN ROAD OPERATING COMPANY, LLC Peace Dale, RI, ranked 5328 | $0 |
|
| 3 | SOUTH COUNTY EDEN OPERATIONS LLC North Kingstown, RI, ranked 7219 | $0 |
|
| 4 | ELISE JARVIS Wakefield, RI, ranked 7313 | $1.7M |
|
| 4 | PETER KASSIS Exeter, RI, ranked 8871 | $1.4M |
|
| 5 | BRENDA VERDI North Kingstown, RI, ranked 10770 | $2.4M |
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.