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In Case You Missed It: Is Pell’s Campaign Dead?

Saturday, April 12, 2014

GoLocalProv News Team

"In Case You Missed It," GoLocal's weekend feature, that gives you a second chance to read this week's top news story. Check out what dominated the news cycle this week in Providence and get all the details with these easy links.

Is Pell's Campaign Dead?

Clay Pell is a mismanaged, weak candidate who doesn’t have a chance at the Governor’s Office, or he’s a credible candidate with strong endorsements running a respectable first-time gubernatorial campaign.

So say local and national political analysts in the academic, public and private sector.

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In five months, Pell will face the founder of the state’s first venture capital firm and Providence’s first Hispanic Mayor in the Gubernatorial Democratic Primary. Local and national political experts are wondering if the untested candidate is running the kind of campaign that can defeat such seasoned professionals.

Read the full article

Rhode Island's Medicare Millionaires

More than 4,000 doctors and other providers of health care services in Rhode Island received nearly $260 million in Medicare reimbursements in 2012, according to new federal data released yesterday.

The data, the first of its kind available in decades, pinpoints where Medicare dollars are going and which doctors and other health care providers are the top recipients—including many so-called ‘Medicare millionaires’ who bill $1 million or more annually. Of $64 billion issued in individual reimbursements nationwide, a third went to under 3 percent of doctors, with nearly 4,000 physicians billing at rates of $1 million or more annually, according to Bloomberg.

Read the full article

Related Slideshow: Top 20 Medicare Payment Recipients in RI

Below are the top 20 highest recipients of Medicare reimbursements in 2012, listed in order from least to greatest. The list includes doctors, ambulance services, and health care businesses. Two municipal ambulance services are also listed. The data, the first of its kind available in decades, was released by federal authorities yesterday.

20. Bayside Endoscopy LLC

Ambulatory Surgical Center

33 Staniford St., Providence

2012 Medicare Payment Data

Total Payment Amount: $906,270.96

Total Amount Requested: $4,973,041.00

Total Amount Allowed: $1,131,865.04

Number of Patients: 2,297

19. Scott Triedman

Radiation Oncology

825 N. Main St., Providence

2012 Medicare Payment Data

Total Payment Amount: $913,292.76

Total Amount Requested: $3,890,550.00

Total Amount Allowed: $1,146,103.50

Number of Patients: 221

18. Richard Bryan

Ophthalmology

120 Dudley St., Providence

2012 Medicare Payment Data

Total Payment Amount: $952,468.78

Total Amount Requested: $1,864,734.00

Total Amount Allowed: $1,214,139.31

Number of Patients: 688

17. Timothy Shafman

Radiation Oncology

115 Cass Ave., Woonsocket

2012 Medicare Payment Data

Total Payment Amount: $956,736.41

Total Amount Requested: $3,932,391.04

Total Amount Allowed: $1,200,057.52

Number of Patients: 195

16. City of Warwick

Ambulance Service Supplier

140 Veterans Memorial Dr., Warwick

2012 Medicare Payment Data

Total Payment Amount: $998,365.17

Total Amount Requested: $2,066,796.57

Total Amount Allowed: $1,257,678.93

Number of Patients: 1,805

15. John Przygoda

Hematology/Oncology

215 Toll Gate Rd., Warwick

2012 Medicare Payment Data

Total Payment Amount: $1,004,675.10

Total Amount Requested: $2,066,796.57

Total Amount Allowed: $1,261,926.16

Number of Patients: 503

14. Candescent Eye Surgicenter LLC

Ambulatory Surgical Center

444 Quaker Ln., Warwick

2012 Medicare Payment Data

Total Payment Amount: $1,006,561.31

Total Amount Requested: $2,627,000.00

Total Amount Allowed: $1,271,196.23

Number of Patients: 1,085

13. Harold Woodcome

Ophthalmology

690 Eddy St., Providence

2012 Medicare Payment Data

Total Payment Amount: $1,016,205.81

Total Amount Requested: $1,830,849.25

Total Amount Allowed: $1,287,778.13

Number of Patients: 610

12. Magdelena Krzystolik

Ophthalmology

1 Randall Sq., Providence

2012 Medicare Payment Data

Total Payment Amount: $1,179,376.11

Total Amount Requested: $2,298,560.00

Total Amount Allowed: $1,493,926.23

Number of Patients: 845

11. Daniel Esmaili

Ophthalmology

690 Eddy St., Providence

2012 Medicare Payment Data

Total Payment Amount: $1,206,315.63

Total Amount Requested: $2,822,677.88

Total Amount Allowed: $1,531,958.89

Number of Patients: 1,040

10. Robert Janigian

Ophthalmology

120 Dudley St., Providence

2012 Medicare Payment Data

Total Payment Amount: $1,239,967.62

Total Amount Requested: $2,404,494.00

Total Amount Allowed: $1,579,534.71

Number of Patients: 707

9. City of Providence

Ambulance Service Supplier

25 Dorrance St., Providence

2012 Medicare Payment Data

Total Payment Amount: $1,676,474.04

Total Amount Requested: $3,161,123.57

Total Amount Allowed: $2,101,837.97

Number of Patients: 2,594

8. New England Ambulance Service Inc.

Ambulance Service Supplier

31 Manuel Ave., Johnston

2012 Medicare Payment Data

Total Payment Amount: $1,776,635.86

Total Amount Requested: $5,659,733.00

Total Amount Allowed: $2,283,383.80

Number of Patients: 4,007

7. Universal Ambulance Service Inc.

Ambulance Service Supplier

457 Douglas Ave., Providence

2012 Medicare Payment Data

Total Payment Amount: $1,884,482.01

Total Amount Requested: $4,342,289.00

Total Amount Allowed: $2,373,620.07

Number of Patients: 2,140

6. Professional Ambulance LLC

Ambulance Service Supplier

52 River Ave., Providence

2012 Medicare Payment Data

Total Payment Amount: $1,958,350.32

Total Amount Requested: $4,714,047.00

Total Amount Allowed: $2,451,287.41

Number of Patients: 1,559

5. Jonah Licht

Internal Medicine

100 Highland Ave., Providence

2012 Medicare Payment Data

Total Payment Amount: $3,169,359.75

Total Amount Requested: $12,629,104.00

Total Amount Allowed: $4,041,718.40

Number of Patients: 652

4. Fathalla Mashali

Anesthesiology

42 Hemingway Dr., East Providence

2012 Medicare Payment Data

Total Payment Amount: $3,470,467.27

Total Amount Requested: $13,595,131.73

Total Amount Allowed: $3,698,641.98

Number of Patients: 727

3. Med Tech Ambulance Service Inc.

Ambulance Service Supplier

19 Mendon Ave., Pawtucket

2012 Medicare Payment Data

Total Payment Amount: $4,650,676.77

Total Amount Requested: $9,264,381.25

Total Amount Allowed: $5,834,893.12

Number of Patients: 6,291

2. East Side Clinical Lab Inc.

Clinical Laboratory

10 Risho Ave., East Providence

2012 Medicare Payment Data

Total Payment Amount: $7,133,560.47

Total Amount Requested: $25,254,372.28

Total Amount Allowed: $7,170,862.69

Number of Patients: 40,842

1. Dominion Diagnostics LLC

Clinical Laboratory

211 Circuit Dr., North Kingstown

2012 Medicare Payment Data

Total Payment Amount: $12,551,313.22

Total Amount Requested: $15,083,697.99

Total Amount Allowed: $12,616,086.69

Number of Patients: 20,736

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