Providers
PETER B KASSIS, MD
NPI 1962416982, individual, Exeter, RI, Family Medicine, Addiction Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
score 51 of 100, rank 8871, $1.4M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Sep 2020 | More hours than a day holds at a conservative unit price | 9.6 | 36.1 | 24.1 | 32.8 | 465 | 1 | 99214 H0004 | $53K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PETER B KASSIS, MD |
| Type | Individual |
| Status | Active |
| NPI issued | July 27, 2006, last updated June 29, 2020 |
| Practice location | 251 MAIN STREET, Exeter, RI 02822-0282, 401-295-0960 |
| Specialties | Family Medicine, Addiction Medicine (207QA0401X, license 21217 ME) Family Medicine, Addiction Medicine (207QA0401X, license 223636 MA) Family Medicine, Addiction Medicine (207QA0401X, license 17768 NH) Family Medicine, Addiction Medicine (207QA0401X, license 0420014083 VT) Family Medicine, Addiction Medicine (207QA0401X, license 55708 CT) Family Medicine, Addiction Medicine (207QA0401X, primary, license 17086 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 | |
|---|---|---|---|---|---|---|---|
| H0020 | Medicaid service code | $26.6M | 47% | $293 | $214 (top 5% from $529) | 62nd percentile | |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm | $21.9M | 38% | $628 | $310 (top 5% from $749) | 87th percentile | |
| H0018 | Behavioral health short-term residential per diem | $4.9M | 9% | $4K | $3K (top 5% from $7K) | 66th percentile | |
| H0004 | Behavioral health counseling and therapy per 15 minhistory of abuse | $1.4M | 2% | $114 | $174 (top 5% from $559) | 33rd percentile | |
| H0015 | Alcohol/drug intensive outpatient per diemhistory of abuse | $566K | 1% | $2K | $666 (top 5% from $2K) | too few months to rank | |
| H0011 | Alcohol/drug acute detox residential per diem | $517K | 1% | $2K | $2K (top 5% from $4K) | too few months to rank | |
| H0010 | Alcohol/drug sub-acute detox residential per diem | $408K | 1% | $3K | $3K (top 5% from $6K) | 63rd percentile | |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | $299K | 1% | $65 | $55 (top 5% from $94) | 58th percentile |
In this area
7 providers in Washington County, RI carry an indicator in the public record, with $7.0M 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 |
|
| 5 | ELIZABETH MORAN New Shoreham, RI, ranked 10741 | $2.9M | |
| 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.