Medicaid Managed Care Providers

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

XIII. Rhode Island Providers…SFY15 Note: the following depicts a descending list of Professional Provider Expense by the NPI of the Billing Provider. Professional Expense 1104847946 - PROVIDENCE CENTER INC INC $10,939,346 1821078932 - GATEWAY HEALTHCARE $8,381,819 1588659528 - RHODE ISLAND HOSPITAL $6,877,027 1891775128 - PCHC AT PRAIRIE AVENUE $6,610,405 1437191061 - COMMUNITY CARE ALLIA NCE $6,569,237 1962455022 - CENTER FOR SPORTS MEDICINE - EAST PROVIDENCE $6,512,529 1275743916 - SEVEN HILLS RHODE IS LAND, INC $4,319,416 1215153945 - CODAC II $3,580,946 1588691620 - THUNDERMIST HC WOONSOCKET EDUCATION CENTER $3,569,086 1912903717 - DOMINION DIAGNOSTICS $3,472,243 1861404121 - EAST SIDE CLINICAL LAB $3,404,325 1205874930 - RI MED IMAGING - LINCOLN $3,177,347 1447233788 - WOMEN & INFANTS HOSPITAL PROF BILLING MFM $2,954,118 1720014442 - Meeting Street Center $2,693,144 1033259478 - CENTER FOR BEHAVIORAL HEALTH RI $2,676,413 1174521488 - DISCOVERY HOUSE $2,574,721 1376509927 - PROVIDENCE ANESTHESIOLOGIST - RI HOSP $2,487,272 1235181041 - UNIVERSITY ORTHOPEDICS INC $2,424,534 1669409561 - ANESTHESIOLOGY INC $2,362,192 1386671535 - KENT CENTER $2,184,382 1518085505 - NORTHEAST BEHAVIORAL ASSOCIATES OF RI $2,067,514 1477679629 - PERSPECTIVES CORPORA TION $2,045,769 1689626764 - UNIV MED FOUND REHOBOTH $2,025,412 1063441640 - MEMORIAL HOSPITAL OF RHODE ISLAND INC $2,003,180 1063574135 - BLACKSTONE VALLEY COMM HLTHCAR INC $1,994,543 1942376033 - RHODE ISLAND MEDICAL IMAGING $1,950,294 1407116643 - LIFESPAN PHYSICIAN GROUP INC $1,940,284 1700913944 - NORTH AMERICAN FAMIL Y INSTITUTE INC $1,929,147 1538266804 - WESTMINSTER EYECARE ASSOCIATES $1,809,917 1366506008 - ADVANCED URGENT CARE $1,735,545 1093713174 - NEWPORT COUNTY COMMU NITY MENTAL HEALTH $1,713,145 1962790360 - WIHCA - IMPERIAL PL PROV $1,693,982 1578693172 - LOOKING UPWARDS, INC $1,681,354 1912946898 - BAYADA HOME HEALTH CARE $1,551,406 1679799217 - CODAC INC $1,484,383 1326070244 - X RAY ASSOCIATES-WAKEFIELD $1,451,687 1639449226 - EMERGENCY MEDICAL ASCS OF RHODE ISLAND P $1,437,650 1669428348 - EAST BAY CENTER $1,436,845 1265595433 - ADDICTION RECOVERY I NSTITUTE SOUTH $1,369,649 1386643294 - KENT COUNTY MEMORIAL HOSPITAL $1,340,448 1609863828 - COASTAL MEDICAL IMAGING $1,310,045 1699058826 - SOUTHERN NEW ENGLAND HEALTHCARE FOR WOMEN, LLC-CEN $1,279,653 1538291877 - UNITED CEREBRAL PALS Y OF RI $1,212,617 1376589895 - UNIVERSITY SURGICAL ASSOCIATES - RIH $1,207,710 1972662104 - CHILDRENS FRIEND & SERVICE $1,191,562 1427392075 - OCEAN STATE BEHAVIOR AL , LLC $1,189,451 1053319368 - Rhode Island Substance Abuse Treatment Inc. d/B/A $1,169,296 1407953623 - DENMARKS HOME MED EQUIPMENT LLC $1,135,983 1053474213 - ADDICTION RECOVERY I NSTITUTE NORTH $1,135,843 1396751830 - THE GRODEN CENTER $1,063,310 1427175678 - J ARTHUR TRUDEAU MEM ORIAL CENTER $1,039,495 1073649471 - ACCESSPOINT RI $1,024,675 1871691204 - WEST BAY ORTHO & NEUROSRGRY INC $995,922 1851472914 - PERFORMANCE PHYSICAL THERAPY $963,360 1184944662 - AFFINITY PHYSICIANS LLC $962,460 1154485480 - QUALITY BEHAVIORAL HEALTH $961,357 1548506793 - LIFESPAN PHYS GRP NEURPSY $932,996 1225123565 - ELITE PHYSICAL THERAPY - N.SMITHFIELD $921,702 1174690887 - RI DEPARTMENT OF HEALTH LAB $917,257 1912342528 - EMERGENCY ASSOCIATES OF WOONSOCKET $880,965 1588709133 - FAMILY SERVICE EIP $865,370 1871713768 - WESTERLY CHARIHO ARC , INC $858,788 Prepared by K. Booth StrategiesAndSolutions

Providers

MedicaidManagedCare20160513.xlsx Page 1 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1386952612 - UNIVERSITY GASTROENTEROLOGY LLC 1699795104 - CENTER FOR TREATMENT & RECOVERY 1306954425 - GARDEN CITY TREATMENT CENTER 1174640726 - FOUNDRY ORTHOPEDICS INC 1184785891 - OPTION CARE IV 1205832029 - ANCHOR MEDICAL ASSOCIATES INC 1245350958 - UNIV OTOL HEAD/NECK SUGY/PT 1487649430 - Miriam Hospital (Lifespan) 1649382151 - MAXIM HEALTHCARE SERVICES INC 1083624316 - THE IMAGING INSTITUTE - CRANSTON 1568596351 - SEVEN HILLS RHODE ISLAND INC 1831196955 - ASSISTED DAILY LIVING INC 1053365734 - OPEN MRI OF NEW ENGLAND INC 1194881961 - KOCH EYE ASSOCIATES - WAKEFIELD 1790830339 - SANTIAGO MEDICAL GROUP 1093861049 - RHODE ISLAND ENT PHYSICIANS INC - AUDIOLOGY 1326250572 - DUP LOC 1376769919 - CODAC EAST BAY 1356343651 - NORTHEAST ORTHOTICS & PROST INC 1558490151 - ATMED TREATMENT CENTER - JOHNSTON 1992884787 - Phoenix House Of New England, Inc. 1013078450 - ROGER WILLIAMS RADIATION THERAPY LLC 1376546267 - NORTHMAIN RADIATION ONCOLOGY ASSOC 1053504548 - LOOKING UPWARDS INC 1982874210 - MAXIM HEALTHCARE SERVICES INC 1982864815 - INF RES HOME HEALTH LLC 1669580858 - ANESTHESIA CARE INC 1972629459 - WIH PROFESSIONAL BILLLING 1720091762 - ABSOLUTE RESPIRATORY CARE INC 1730588062 - OCEAN ST URGENT CARE CTR OF WOONSOCKET L 1518124155 - EPOCH SLEEP CENTERS LLC 1043436785 - CODAC III 1578548384 - INSPIRE MEDICAL EQUIPMENT & SERVICE INC 1730186776 - KENT HOME MEDICAL EQUIPMENT 1871918870 - FATIMA WOUND AND BREAST HEALTH-LINCOLN 1033171798 - NATIONAL SURGICAL SUPPLY 1780638494 - ADVANCED RADIOLOGY INC 1437382280 - ELMWOOD ADULT DAY HEALTH CARE CENTER 1720427271 - CAREPOINT PARTNERS 1396780086 - TRI TOWN COMMUNITY ACTION AGEN 1871674796 - HOME HOSPICE CARE OF RI 1245219070 - Northwest Community Health Care dba WellOne Primar 1023148004 - LIFETIME MEDICAL 1366441719 - COMPREHENSIVE COMMUNITY ACTION 1578678777 - PEDIATRIC OPHTHAMOLOGY & STRABISMUS ASCS 1417142761 - EASTER SEALS OF RI 1306919006 - J ARTHUR TRUDEAU MEMORIAL CENTER 1558531467 - EAST SIDE URGENT CARE 1609925122 - East Bay Community Action 1538271044 - MED TECH AMBULANCE 1518084193 - FOUNDRY SPORTS MED & FITNESS 1407871270 - MIDLAND MEDICAL 1447378559 - OCEAN STATE COMMUNIT Y RESOURCES 1992857403 - ARMISTICE URGENT CARE & OCCUPATIONAL HEALTH 1013062520 - GENERATIONS 1306952312 - ST. MARY 'S HOME FOR CHILDREN 1598762304 - NHCC Medical Associates Inc 1255367942 - UNIVERSITY MEDICAL GROUP 1134242472 - RHODE ISLAND FOOT CARE INC 1043347602 - COMMUNITY CARE ALLIANCE 1235315284 - SUNSHINE PEDIATRICS 1518921816 - SOUTH COUNTY ORTHO/PHYS THER INC 1841413994 - HOMECARE ADVANTAGE CHC 1336368406 - THE SENSATIONAL CHILD INC Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $846,813 $843,021 $812,386 $806,835 $796,694 $787,118 $781,760 $762,832 $738,591 $718,172 $712,909 $700,062 $698,761 $681,040 $681,027 $674,877 $672,523 $664,294 $661,957 $661,527 $639,568 $625,573 $624,350 $605,774 $590,491 $586,947 $574,751 $564,412 $561,853 $552,972 $552,907 $550,920 $541,437 $540,730 $531,770 $531,513 $528,394 $526,739 $519,621 $512,343 $498,422 $494,261 $486,097 $470,287 $459,170 $457,575 $457,559 $449,217 $438,019 $432,286 $431,999 $419,464 $418,472 $414,410 $414,351 $411,852 $411,611 $406,473 $402,577 $397,041 $394,584 $394,231 $391,290 $390,773 MedicaidManagedCare20160513.xlsx Page 2 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1710274402 - J ARTHUR TRUDEAU MEMORIAL CENT 1962538322 - Family Service of Rhode Island, Inc. 1699752923 - LANDMARK MEDICAL CENTER 1609955822 - HOPE NURSING HOME CARE LLC 1104948439 - HOMECARE ADVANTAGE 1366501603 - RIVERWOOD REHABILITA TION SERVICES, INC 1437290889 - THE EYEGLASS STORE INC - 1715 1295797389 - BLOCK, PAUL, LP 1316072143 - GEORGE D BERTHERMAN OD INC INC 1780672709 - BLACKSTONE ORTHO MED 1043237621 - ANESTHESIA ASSC OF KENT COUNTY 1306896311 - RHODE ISLAND REHABILITATION INSTITUTE PC 1659463230 - COLLYER STREET OPERATORY 1245239680 - FELLOWSHIP HEALTH RE SOURCES, INC. 1528221470 - NORTH PROVIDENCE URGENT CARE 1467508556 - KLIBANOFF EYE ASSOCIATES LTD 1376690982 - ORTHOPEDIC APPLI BRACE CNTER I 1427297795 - Anchor Counseling Center Inc 1023369485 - OCEAN STATE CARDIOVASCULAR AND VEIN CENTER, LLC 1336137629 - SOUTHCOAST PHYSICIAN GRP INC 1184743965 - COMMUNITY CARE NURSES 1699923656 - CARDIOVASCULAR INSTITUTE OF NE - WESTERLY 1366429102 - RHODE ISLAND EYE INSTITUTE 1861618290 - CENTER FOR ORTHOPAEDICS INC 1225112246 - HOMEFRONT HEALTH CARE 1366486102 - NEUROLOGY FOUNDATION - PARSONAGE ST 1518973056 - ADVANCED EYE CARE ASSOCIATES 1295906956 - ENT CENTER OF RHODE ISLAND LLC 1477675262 - HASBRO EARLY INTERVENTION PROGRAM 1538174909 - HEMATOLOGY & ONCOLOGY ASSOCIATES OF RI INC 1821218587 - MAP Alcohol And Drug Rehabilitative Services, Inc 1043219553 - VNA OF CARE NEW ENGLAND 1295818078 - EAST PROVIDENCE MEDICAL CENTER 1093723546 - GASTROENTEROLOGY ASSOCIATES - NSMITHFIELD 1114011756 - Angell Street Psychiatry, LTD 1902079841 - ENVISIONS EYECARE CENTERS INC 1700902392 - AIDS CARE OCEAN STAT E, INC 1396864542 - KENT COUNTY MEM HSP/PROF FEE 1538161161 - BRISTOL COUNTY MEDICAL CENTER 1083886022 - Family Connections 1225159932 - PULMONARY AND SLEEP OFFICES OF NEW ENGLAND PC 1518944941 - FRANK D'ALESSANDRO MD-PROVIDENCE 1114193075 - HOPE MEDICAL GROUP 1609953397 - GASTROENTEROLOGY CLINIC AT RI HOSPITAL 1013332014 - Prospect CharterCare RWMC, LLC, DBA Roger Williams 1891792065 - RAMOS, DANTE 1164688248 - REID, BROOK, M.A. 1871577999 - RINTELS, PETER, M.D. 1932215316 - TIEN, DAVID ROBBINS, M.D. 1295718914 - RHODE ISLAND NEUROSURGICAL INSTITUTE INC 1508992694 - A TO Z PRIMARY CARE 1861445728 - NARRAGANSETT BAY ANESTHESIA 1457302002 - ENCOMPASS CARE COMPANY 1740275353 - NEUROHEALTH, INC 1598833535 - FAMILY SERVICE INC 1568640886 - UNIVERSITY PATHOLOGISTS LLC 1629493135 - CHARTERCARE MED ASSOC-MAUDE ST. 1225097330 - MAJORS MEDICAL SUPPLY 1689657249 - IMAGING NETWORK OF RI 1184713646 - EAST GREENWICH PEDIATRICS 1770511446 - RIZVI, SYED A, M.D. 1821434580 - EMERGENCY MEDICINE PHYSICIANS OF WASH COUNTY 1427381052 - EMERG PHYS ASSOC OF NE PC 1346296209 - VISION ASSOCIATES INC Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $389,966 $386,918 $386,824 $386,565 $380,103 $377,859 $377,248 $373,858 $373,017 $372,537 $369,738 $368,750 $366,646 $364,660 $355,316 $355,119 $353,964 $352,346 $349,408 $348,040 $345,094 $344,619 $339,648 $337,696 $337,447 $335,495 $335,219 $334,938 $332,934 $329,595 $328,832 $326,133 $325,317 $317,002 $316,710 $314,479 $310,490 $300,899 $297,993 $294,685 $294,329 $294,243 $294,108 $294,099 $294,051 $283,230 $280,403 $279,575 $273,520 $269,556 $268,917 $264,067 $260,093 $259,031 $258,936 $257,260 $256,805 $256,497 $249,568 $247,889 $247,647 $247,128 $245,188 $243,084 MedicaidManagedCare20160513.xlsx Page 3 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1174633143 - PLANNED PARENTHOOD OF SOUTHERN NE INC 1801065768 - INTERNAL MEDICINE 1497974687 - PROVIDENCE FIRE DEPARTMENT 1033193925 - MEDICAL GROUP OF RI - TOLLGATE RD 1578768867 - Emma Pendelton Bradley Hospital (Lifespan) 1548340938 - MEDICAL IMAGING ASSOCIATES 1538113113 - RHODE ISLAND PET SERVICES INC 1306890546 - PLAZA PSYCHOLOGY & PSYCHIATRY INC 1912322918 - CHARTERCARE HOME HEALTH SERVICES 1205974623 - PEDIATRIC ASSOCIATES INC 1235185679 - ASSOCIATES IN ANESTHESIA INC 1669690418 - PARK PEDIATRICS LLC 1932117702 - CHILDRENS MEDICAL GROUP 1245246115 - SILVER SPRING HEALTHCARE MANAGEMENT INC SOUTH COUN 1851474258 - NARRAGANSETT RADIOLOGY 1720190267 - MATSIEVSKAYA, ALLA 1386972693 - L AND M PHYSICIANS ASSOCIATION INC 1417947383 - Wood River Health Services 1376566257 - RHODE ISLAND SURGEONS INC 1184784795 - PROVIDENCE PEDIATRICS 1437235017 - UNIVERSITY FOOT & ANKLE CENTER, INC. 1467478156 - PAWTUXET VALLEY URGENT CARE 1285664524 - PRIMA INC 1134277494 - BIO REFERENCE LABORATORIES INC 1528024171 - BLACKSTONE VALLEY SURGICARE 1285815993 - EAST SIDE PEDIATRICS 1891719563 - ALLIANCE ENT - PROVIDENCE 1417904988 - SCAGNELLI, ALEXANDER, MD 1295952802 - PERIS MEDICAL CORPORATION 1215912738 - RHEUMATOLOGY ASSOCIATES 1477758282 - PSYCHOLOGICAL ASSOCIATES 1821316605 - CHARM MEDICAL SUPPLY 1114075702 - GRODEN CENTER COMMUNITY BEHAVIORAL HEALTH 1205842036 - HOME CARE SERVICES OF RI INC 1144387028 - ALLEN, CATHERINE, LMFT 1780696773 - SANTORO, MELISSA, LICSW 1447308077 - FAMILY SERVICE INC 1780698357 - Butler Hospital (Care New England) 1023213980 - Dr Sparadeo and Associates 1396744173 - LIFESPAN HOME MEDICAL 1760779045 - SEVEN HILLS RHODE ISLAND 1972676021 - RHODE ISLAND DERMATOLOGY AND COSMETIC CENTER 1376891416 - CAREWELL URGENT CARE - WARWICK 1154432698 - BEAN SCUSSEL, LAURA, LICSW 1083683148 - WEHBE, PAUL 1730144353 - CARPENTER, MARSHALL 1447382346 - CHILDRENS HEALTHCARE INC 1376553990 - INT MED ASSOC, INC. - CRANSTON 1972636850 - BARRINGTON PEDIATRIC ASSOC 1811943558 - HEALY PHYSICAL THERAPY SPORTS MEDICINE 1184049017 - MOMENTUM INC 1225227200 - BLACKSTONE VALLEY PEDIATRICS 1417014432 - J DOUGLAS NISBET & DR. SCOTT MDS 1902822414 - DEANGELIS, CHARLES 1558304212 - BRAIN & SPINE NEUROSURGICAL INST-CUMBERLAND 1063425189 - CHILD & FAMILY SERVI CES OF NEWPORT COUN 1679612477 - CITY OF PAWTUCKET 1891843579 - PRATT RADIATION ONC ASSC OF RI 1497780993 - DAVID S POMERANTZ MD INC 1912237025 - BIO REFERENCE LABORATORIES INC 1073613741 - CORVESE, JOHN, O.D. 1972590552 - COASTAL MEDICAL IMAGING 1720121635 - PEDIATRIC NEUROLOGY INC 1760435093 - ANESTHESIA ASSOC OF KENT COUNT Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $239,391 $239,073 $238,130 $237,374 $235,213 $233,847 $230,685 $228,563 $228,172 $224,165 $222,652 $222,257 $222,094 $221,738 $219,828 $216,294 $215,780 $214,569 $213,890 $211,595 $209,484 $208,232 $207,745 $203,962 $200,565 $196,887 $196,798 $196,111 $195,935 $195,077 $194,093 $191,775 $191,139 $186,071 $183,345 $183,341 $182,882 $182,803 $182,797 $181,995 $181,261 $179,895 $178,474 $177,149 $175,199 $175,049 $174,952 $174,527 $174,022 $171,045 $170,720 $170,008 $169,883 $169,395 $166,873 $165,744 $165,171 $164,904 $164,774 $162,939 $159,284 $157,647 $155,335 $155,147 MedicaidManagedCare20160513.xlsx Page 4 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1003021726 - Gateway Healthcare, Inc. 1811971922 - SAMBANDAM, SUNDARESAN, M.D. 1588685754 - LUCIANO SZTULMAN MD INC 1235293580 - BROWN VISION CARE, INC. 1861492001 - ORMANDO, JOHN 1649231135 - HOMECARE NEW ENGLAND LLC 1912099938 - OLYMPIC PT & SPORTS MED INC-TIVERTON 1558492405 - JAMES L MAHER CENTER 1265419972 - NEUROSURGERY FOUNDATION INC 1639141310 - CHILDREN FIRST PEDIATRICS 1023212412 - PRIMARY CARE MEDICINE ASSC INC 1841249935 - RI HAND ORTHO CTR PT INC 1699025650 - CENTER FOR NEW ENGLAND URGENT CARE INC 1477693703 - ELLEN FRANKEL MD 1720085657 - BAYSIDE ENDOSCOPY CENTER LLC 1760488449 - REARDON, EDWARD, D.O. 1881731586 - SCOTT, WALTER 1669579702 - AQUIDNECK RADIOLOGIST, INC. 1154461663 - CITY OF CRANSTON/AMB 1780765354 - RETINA CONSULTANTS 1578570735 - HIRSCH, STEVEN 1053303669 - BECKER, TANYA 1144296054 - CRANSTON MEDICAL 1386774289 - GLEASON MEDICAL SERVICES INC GLEASON MEDICAL SERVI 1821256140 - Integrated Psychiatry 1942580659 - PINNACLE HOMCARE LLC 1619908621 - ROMPF, PATRICIA 1801966510 - Bridgemark, Inc 1437119005 - LINCOLN URGENT CARE 1538169784 - COLONNA, SCOTT 1265422596 - PRIMA CARE PC RADIOLOGY 1265567077 - ELMWOOD ORTHOPEDIC REHAB 1891716882 - SJH RADIOLOGY ASSOC INC 1316923352 - CHAVARRIA, JOHNNY 1235279092 - A & B ANESTHESIA ASSC PC 1407954415 - DIABETES & ENDOCRINOLOGY ASC INC 1720198146 - RODGERS JR, JOSEPH, MD 1033523063 - PRECISION PAIN TREATMENT CLINIC 1689734477 - LONGOBARDI, YEN 1497826515 - NURSING PLACEMENT HOME HEALTH CARE SERVICES INC 1265584395 - WARWICK MEDICAL WALK IN CTR 1427355791 - NRI PEDIATRICS PC 1861499675 - SURTI, GHULAM, MD 1215060850 - United Cerebral Palsy Of Rhode Island 1164633038 - Day One 1528403847 - TOLLGATE OB & GYN MIDWIFERY 1215093919 - WOONSOCKET FIRE DEPARTMENT 1912074675 - CHILDRENS CHOICE PEDIATRICS 1588648935 - LINCOLN PEDIATRIC ASSOCIATES 1861561193 - CRITICAL, PULMONARY & INPATIENT CARE 1134109697 - SOUTHERN NE CANCER CENTER 1780681767 - KHANBHAI, KARIM, M.D. 1699711002 - RIVERSIDE PEDIATRICS INC 1548685985 - AGAPE DERMATOLOGY - WARWICK 1760600266 - EAST BAY PEDS & ADOLESCENT MED 1487723458 - NEVOLA, CHAD 1407073356 - New England Pediatric Psychology 1114955200 - BISHOP, LINDA, LMHC 1023125721 - EXIL, GERALD 1699790683 - ROBIN, RICHARD 1932138203 - SHAH-HOSSEINI, BAHRAM 1033345632 - BARRINGTON URGENT CARE CENTER 1841354487 - PRIMACARE 1093861858 - MADDOCK CENTER FOR RADIATION ONCOLOGY Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $153,508 $153,055 $152,494 $151,319 $151,198 $150,053 $149,677 $148,416 $146,478 $146,398 $145,498 $144,981 $143,942 $143,939 $141,802 $139,706 $139,309 $139,220 $138,146 $137,890 $137,093 $136,588 $136,111 $135,636 $135,515 $134,294 $133,327 $132,769 $132,234 $131,001 $129,718 $129,510 $129,502 $128,978 $127,981 $127,894 $127,436 $127,409 $127,280 $124,273 $123,759 $121,992 $121,841 $121,498 $121,188 $121,046 $120,177 $119,849 $117,971 $117,639 $117,550 $116,870 $116,826 $116,634 $116,260 $116,072 $115,985 $115,884 $115,258 $114,721 $114,440 $113,199 $113,118 $112,824 MedicaidManagedCare20160513.xlsx Page 5 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1093714545 - VNA OF CARE NEW ENGLAND 1043234958 - SABER, WALID, M.D. 1396844544 - Gateway Profesional Group, Inc 1881806925 - ACCESS AMBULANCE 1821119637 - NEW ENGLAND ANESTHESIOLOGISTS 1962757773 - COASTLINE EMERGENCY MEDICAL SERVICES, INC. 1083641740 - MORIN, SUSAN 1609945252 - WOMENS CARE 1780622449 - GALLO, ANTHONY, MD 1417033986 - SOUTH COUNTY PEDIATRICS 1821216029 - ATWOOD PEDIATRICS INC 1629252317 - CHERYL FLYNN MD 1669583795 - Gateway Healthcare, Inc. 1417207580 - CENTER OF NE URGENT CARE 1497934350 - ALLERGY & ASTHMA ASSOCIATES INC 1457355976 - CARLOW ORTHOPEDIC & PROSTHETIC INC 1285690610 - ENANDER, MARK 1164627352 - BRADLEY HOSPITAL 1760526214 - OCEAN STATE PEDIATRICS 1114926185 - BRENNAN, WILLIAM, M.D. 1043329782 - DAMICO JR, WILLIAM, E.D.D 1124027552 - ZWETCHKENBAUM, JOHN, M.D. 1003097346 - CABALLERO SNYDER, MARGARITA, M.S. 1447698675 - OCEAN ST UGT CR CTR OF STHFLD LLC 1831384924 - MEDICAL PRIMARY CARE UNIT AT RI HOSPITAL 1366402018 - DRS CONCANNON & VITALE LLC 1972632255 - BLACKSTONE VALLEY OB/GYN INC. 1316996101 - UNIVERSITY DERMATOLOGY 1093831646 - BUTLER HOSPITAL 1710058904 - NURSING PLACEMENT 1093787095 - Justice Resource Institute 1235309006 - HUDSON SEATING & MOBILITY 1245388370 - AZARIAN, ANAIT 1386655710 - ROCHA, ANTHONY 1285827824 - BLACKSTONE VALLEY EYE CARE 1619310927 - Diamond Hill Counseling 1720180367 - GIOVETTI, MARY, M.D. 1275692493 - LECONTE, CARINE 1548280555 - SALK, ROBERT, D.O. 1811296692 - UNITED HOSPITALIST & INTE GR INC 1821325366 - DEPENDABLE HEALTHCARE SERVICES 1053386375 - WESTERLY RADIOLOGY ASSOCIATES COASTAL IMAGING LLC 1346411592 - SMITHFIELD PEDIATRICS 1083875876 - WORTMAN, BETHANY 1508828401 - OHNMACHT, RICHARD 1043401979 - OCEAN MEDICAL PRACTICE INC 1013015791 - WAKEFIELD PEDIATRICS LLC 1215085816 - GUTTMACHER, THOMAS, M.D. 1326139023 - CAPITOL HOME CARE NETWORK INC 1902886757 - N PROV PRIMARY CARE ASSOC 1689657306 - SAMPATH, PRAKASH, M.D. 1104962935 - PARENTE, JOSEPH 1811253370 - JUST KIDS RI SICK CARE LLC 1689688590 - FURMAN, MARTIN, MD 1437223195 - DAVIS, LEENA 1588879266 - EAST GREENWICH ENDOSCOPY CENTER 1427078476 - WILLIAMS, ROBERT, M.D. 1740211168 - Angell Street Psychiatry, LTD 1295891661 - TIDES FAMILY SERVICE S, INC 1609186667 - TOLL GATE RADIOLOGY II LLC 1700940301 - MCGUNIGAL JR, THOMAS, M.D. 1780782706 - GASTROENTEROLOGY SPECIALISTS, INC. 1376820589 - OCEAN STATE MEDICAL 1265408959 - CITY OF WARWICK Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $112,184 $112,025 $111,928 $111,847 $111,831 $111,553 $111,543 $111,490 $111,233 $110,774 $110,702 $110,361 $109,468 $109,466 $109,077 $108,790 $108,388 $107,953 $107,883 $105,856 $103,411 $103,241 $102,934 $102,036 $101,779 $101,515 $101,390 $100,647 $100,371 $100,209 $99,334 $99,142 $98,913 $98,903 $98,124 $97,897 $97,852 $97,439 $96,822 $96,605 $95,878 $95,770 $95,531 $94,259 $94,130 $94,034 $93,980 $93,627 $93,081 $92,720 $92,213 $91,719 $90,302 $89,788 $89,586 $88,366 $88,364 $88,213 $87,738 $87,443 $87,350 $86,429 $86,406 $86,316 MedicaidManagedCare20160513.xlsx Page 6 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1215920327 - FOOT & ANKLE INSTITUTE OF NE 1760403778 - COLAVITA, MAURO, M.D. 1417946906 - SIMPSONS PHARMACY 1023077898 - KAPLAN, JONATHAN, O.D. 1396865259 - Family Associates 1992757017 - NORTH PROVIDENCE MED SER INC 1356300115 - RUTHS LINGERIE INC 1851379812 - DIAMANTE, GIULIO 1134281280 - ADCARE HOSP OF WORCESTER INC 1629055827 - WASSER, MARVIN 1821277427 - ASSOCIATES IN PRIMARY CARE MED 1023399318 - CANDESCENT EYE SURGICENTER LLC 1740560812 - EUGENIO-COLON, JOSE 1053306423 - FRANKEL, ELLEN, M.D. 1134252794 - Continuum Behavioral Health / Benjamin Lederer MD 1174859284 - NIEDZWIECKI, MATTHEW, MD 1376761544 - PROFESSIONAL INTERNAL MEDICINE 1457346413 - NEWPORT HOSPITAL 1821119322 - Family Associates 1275633547 - HANDEL CENTER FOR SPINE, SPORTS & PAIN INTERVENTIO 1205939097 - NARDONE MEDICAL ASSOCIATES INC 1457329930 - ALOISIO, ELIZABETH, LMHC 1275971400 - OCEAN STATE URGENT CARE CENTER OF CUMBERLAND 1144227729 - ETTEFAGH, KEIVAN, M.D. 1265403612 - ANESTHESIA ASSOC OF WESTERLY 1760578181 - CUMBERLAND FAMILY EYE CARE LTD. 1578507943 - NEW ENGLAND ORTHOPEDICS INC 1699743245 - JACOBS, GENE, DO 1912030792 - KINGSTOWN PEDIATRICS INC 1629157201 - DOYLE RESPIRATORY LLC 1578503413 - ROBERTSON, ALEXANDER, M.D. 1295710267 - PARENTE, ANTHONY, LMHC 1750358826 - VISION WORLD 1407928179 - ENDOVASCULAR & INTERVENTION 1093711830 - KATZEN, DAVID, M.D. 1487846648 - DANG, ANH-TAI, M.D. 1164599858 - THOMAS D PULEO MD LLC 1194052548 - FRANKLIN E MIRRER MD ORTHOPAEDIC SURG 1689618902 - NEW ENGLAND AMBULANCE SVC INC 1750407516 - JOSEPHSON, BARRY, LP 1861694069 - JANIGAN RETINA ASSOC-WAKEFIELD 1689703860 - CITY OF EAST PROVIDENCE 1912959172 - MECHREFE, ANTHONY 1659379410 - SILVER, MICHAEL, M.D. 1952341075 - POSHKUS, MICHAEL, M.D. 1063438547 - SCOTT, MARK FRANCIS, M.D. 1194877621 - Delta Consultants Of South County, Inc. 1275502635 - POGACAR, PETER 1588646632 - SCHOORENS, CATHY, M.D. 1508859109 - NG, KAREN, M.D. 1396751665 - Butler Hospital (Care New England) 1114982857 - Butler Hospital (Care New England) 1073726733 - PROVIDENCE PHYSICAL THERAPY 1376519686 - BERGERON, JOHN 1659318392 - BEITLE, MICHAEL DAVID, M.D. 1184769010 - ATLANTIC FAMILY EYE CARE - WOONSOCKET 1720124159 - ALPHA SURGICAL INC 1154537520 - CHILD PROTECTION AT RI HOSPITAL 1063504512 - GUGLIELMO, MARIA, M.D. 1619002854 - CHAN, SUSANA, O.D. 1396903399 - VINCENT ZIZZA DO 1518956184 - QUILES, RICK, M.D. 1972619864 - REGAN, DANIEL, M.D. 1366734089 - MOWBRAY, KERRI, LICSW Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $85,812 $85,602 $85,550 $85,459 $85,113 $84,837 $84,355 $84,342 $84,315 $83,605 $83,450 $83,442 $81,497 $80,790 $80,684 $80,231 $79,662 $79,630 $79,616 $79,101 $79,077 $78,909 $78,546 $77,538 $77,073 $76,793 $76,631 $76,616 $75,946 $75,623 $75,255 $75,251 $75,129 $75,100 $75,002 $74,910 $74,868 $74,549 $74,398 $74,380 $74,288 $73,971 $73,756 $73,608 $73,602 $73,255 $73,053 $73,008 $72,636 $71,594 $71,512 $71,423 $71,254 $71,220 $71,076 $71,060 $71,029 $70,952 $70,621 $70,600 $70,063 $69,965 $69,538 $69,325 MedicaidManagedCare20160513.xlsx Page 7 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1982623153 - GIL, ALFREDO, M.D. 1881604940 - TOLL GATE RADIOLOGY II LLC 1487720298 - WARREN FAMILY PRACTICE 1639154735 - AREL, PATRICIA 1780663286 - CERMIK, DILEK, M.D. 1114939170 - BAILL, KEVIN, M.D. 1235554072 - OCEAN STATE URGENT CARE OF WESTERLY 1275731853 - SOOCH, DIVJOT, M.D. 1376675470 - HEALTHWAY RI 1720264930 - Psychotherapy Services Of R.I., Inc. 1154459089 - CONSULTANTS IN UROLOGY 1487884987 - PROFESSIONAL AMBULANCE LLC 1558386227 - ATWOOD MEDICAL ASSOCIATES 1821175944 - SCORPIO, MARIANNE 1477721876 - KULMAN, IRA, LP 1629015896 - WILLIAMS, JAMIE 1144389560 - ALLERGY & ASTHMA-1522 1073535183 - POHL, DIETER, M.D. 1538249552 - Gateway Profesional Group, Inc 1295929404 - OPTOMETRIC PROVIDERS OF RHODE ISLAND INC 1528183514 - RYAN, LAURA 1285648857 - Butler Hospital (Care New England) 1508819608 - GRILLO, JOSEPH, M.D. 1215945902 - SABOYA, DEBORAH 1518969195 - ELGABRY, IBRAHIM, M.D. 1740206309 - BOYLE, LISA, M.D. 1578517975 - DOKTOR, CATHERINE, LICSW 1952430019 - NEWTON, ERIC, M.D. 1952447294 - HASBRO CHILDRENS HOSPITAL 1063597151 - CHRONLEY, DAVID, M.D. 1275591661 - BERMAN, LINDA, M.D. 1942360342 - DUWORS, ROBERT, LP 1891993507 - MONTALVO AYALA, RAFAEL 1255357737 - NISBET II, J DOUGLAS, M.D. 1104848993 - YATSKAR, IGOR, P.T. 1972685170 - TURACOVA, DANIELA 1063726081 - LAFLEUR, MADELINE, LICSW 1316150543 - MEDICAL CLINIC AT THE MIRIAM HOSPITAL 1750388393 - DIEROLF, CHRISTINA, M.D. 1770761660 - GIULIO DIAMANTE-JOHNSTON 1124319892 - Counseling Services of Rhode Island 1083633242 - MEDEIROS, CARROLL 1679649297 - GILLMAN, KELVIN, M.D. 1740220250 - LEFEBVRE, MICHELLE, M.D. 1487651998 - ULLMAN, MARTHA, M.D. 1366559114 - GUPTA, GAURAV, M.D. 1134197411 - TOWN OF WEST WARWICK 1962409128 - CONCANNON, JOHN, D.O. 1477698298 - BAILEY, MONICA 1033166657 - NORTHERN RHODE ISLAND PT 1972626760 - LEVINE, LAURA, LMHC 1639277072 - HYPERTENSION & NEPHROLOGY-LINCOLN 1700957164 - SALMON, MAGDI, M.D. 1124281332 - RAMIREZ, RICHMOND 1457446593 - Debbi McInteer M.D., Inc- Main St 1194720573 - YASIGIAN, PETER, M.D. 1881747871 - LUCIER, JULIE, LP 1679663405 - HOLLINGER, WALTER, M.D. 1871535534 - TELLIOGLU, TAHIR, MD 1114014792 - BODY MECHANIX PHYSICAL THERAPY INC 1184851065 - AUDETTE, GRACIOUS 1447225859 - TURNER, JOSEPH, D.O. 1477570018 - LEIBOWITZ, DAVID, D.O. 1306843784 - SALM, JENNIFER Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $69,319 $69,283 $69,187 $68,636 $68,484 $68,323 $68,298 $68,257 $67,957 $67,758 $67,636 $67,425 $67,369 $66,987 $66,899 $66,823 $66,771 $66,653 $66,513 $66,453 $66,405 $66,340 $66,285 $66,037 $65,917 $65,846 $65,711 $65,621 $65,177 $65,156 $65,134 $65,091 $65,087 $64,452 $64,250 $63,968 $63,939 $63,912 $63,882 $63,825 $63,752 $63,612 $63,528 $63,424 $63,133 $62,589 $62,584 $62,439 $62,222 $62,128 $61,754 $61,700 $61,668 $61,407 $61,351 $61,300 $60,972 $60,806 $60,778 $60,665 $60,637 $60,636 $60,632 $60,625 MedicaidManagedCare20160513.xlsx Page 8 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1346575701 - OCEAN STATE ANESTHESIA PARTNER 1083635064 - UROLOGY ASSOCIATES, INC 1750540571 - ELDERT, CASEY 1467533364 - HASAN, RAZI, M.D. 1699892687 - Lisa M. Rocchio, PhD & Associates, Inc. 1467495572 - EDEN, ROBERT, M.D. 1174619878 - RODRIGUEZ-PERIS, EMILIO, M.D. 1649276494 - BARROS, PEDRO MARIANO, M.D. 1659489763 - PAPPAS PHYSICAL THERAPY OF JOHNSTON 1538180534 - POWERS, MARYLIN MICHELLE, D.O. 1104089523 - DELAPORTA, SARA, M.D. 1336471747 - DUQUETTE FAMILY EYE CARE INC 1649404799 - NORTH SMITHFIELD URGENT CARE 1679593701 - GOLDMAN, DEBRA, M.D. 1720060726 - MURATORE, CHRISTOPHER, M.D. 1396728200 - East Bay Center, Inc. 1326190273 - NEWPORT COUNTY MED TRMT OFC INC 1902924418 - TOWN OF NORTH PROVIDENCE 1750341228 - SIMMONS, ROXANNE, M.D. 1538142252 - KARDOUS, ANTIOAN, M.D. 1467515957 - South County Child & Family Consultants 1548263494 - MINTZ, HOWARD, M.D. 1023065711 - KWETKOWSKI, ELENA, D.O. 1912203571 - PEREZ TREVINO, SUSSI, LMHC 1225476732 - PRO CARE THERAPY - PARK AVE 1003004466 - JERROLD ROSENBERG MD 1851492482 - CHARLES M COLLONS MD LTD 1528072261 - OLIVARES, ALVARO, MD 1588617609 - LEPRE PT OF NORTH PROVIDENCE 1265459143 - WHARTON, GARY, M.D. 1629075981 - MAGGIACOMO, FRANK, D.O. 1336202811 - INDEPENDENCE LLC PRODUCTS FOR INDEP 1013199488 - FISHER, REBECCA, M.D. 1376645960 - BRENNAN, KAREN 1144332586 - KARANTH, NIKHIL, M.D. 1912063181 - FLYNN, CHERYL, M.D. 1003853094 - BERGERS, ARNALDO, MD 1699935262 - Newport County Community Mental Health Center, Inc 1497976757 - FIORAVANTI, BARBARA, LMHC 1821312646 - GARDEN CITY REHABILITATION CENTER 1891869608 - TO LIFE CENTER 1669492070 - SZTULMAN, LUCIANO, M.D. 1467683227 - VAFIDIS, CONSTANTINE, M.D. 1083629521 - KAGO, JANET, LMHC 1467464495 - ZAMAN, MOHAMMAD 1619091444 - BENJAMIN, MARY, LICSW 1396782223 - VITALE, COLLEEN, M.D. 1912124421 - Family Service of Rhode Island, Inc. 1306947833 - COWESETT HOME CARE 1235134495 - LAKHIANI, CHANDAN, M.D. 1669433942 - KORENNAYA, ALLA 1104051416 - Robert A. Walker & Associates, Counseling and Cons 1891780706 - LEUROPA, GARY, M.D. 1366426801 - NEPHROLOGY ASSOCIATES, INC 1316083330 - HUNT, DAVID, M.D. 1366407306 - FLEXIBLE PHYSICAL THERAPY INC 1336290311 - MARANO, ALBERT 1861539744 - CENTRAL FALLS RESCUE 1306851282 - LIBERTY PHYSICAL THERAPY 1225464209 - THE INNER YOU LLC 1154583953 - KARANTH, NITHIN, M.D. 1952328569 - MIRIAM HOSPITAL 1508049305 - Medical Assisted Recovery Inc 1073625794 - RUSSELL, PHILIP, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $60,616 $60,492 $60,305 $60,269 $59,865 $59,779 $59,648 $59,491 $59,211 $59,057 $58,932 $58,906 $58,675 $58,657 $57,939 $57,880 $57,537 $57,533 $57,387 $57,300 $57,271 $57,260 $57,218 $57,214 $57,153 $57,107 $57,038 $56,955 $56,863 $56,833 $56,756 $56,723 $56,669 $56,498 $56,182 $55,984 $55,851 $55,759 $55,741 $55,715 $55,659 $55,571 $55,397 $55,335 $55,317 $55,252 $55,202 $54,851 $54,816 $54,747 $54,720 $54,666 $54,665 $54,650 $54,638 $54,591 $54,548 $54,514 $54,343 $54,265 $54,135 $54,035 $53,981 $53,931 MedicaidManagedCare20160513.xlsx Page 9 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1760629596 - PAPPAS PHYSICAL THERAPY OF WESTERLY INC 1265612725 - KHADAR, FATIMA, N.P. 1063570224 - PENCHUK, STEPHANIE, M.D. 1083679286 - LUKE, MICHAEL 1821070418 - JOSEPH, PLAKYIL, M.D. 1467477273 - FOWLKES, VANESSA PEYTON, F.N.P 1629074141 - BERTHERMAN, GEORGE, O.D. 1578518718 - SPECIALIZED ORTHO PT INC 1558336669 - REALI-MARINI, DIANE, M.D. 1275501611 - DENUCCIO, JANIS, RN 1366539975 - SHEA, NANCY, PCNS 1326145699 - PHENIX HOME CARE 1922119411 - BAAKLINI, MICHAEL, M.D. 1962456921 - LEWIS, CAROL 1972784452 - CZERWEIN, JOHN 1235361080 - ABROGUENA, JOHN 1083754717 - BONNER, JAMES, M.D. 1801864772 - JARDINE, JOHN, MD 1053344515 - RHODE ISLAND LIMB COMPANY 1346293016 - SINGER, JOSEPH, M.D. 1326055906 - COPPOLELLI, BERNARD 1447443247 - COTE, MARK, LMHC 1073523288 - PULEO, THOMAS DAVID, M.D. 1225018955 - D'ALESSANDRO, FRANK MICHAEL, M.D. 1154459642 - Sheehan Psychotherapy Associates 1053611996 - KLIBANOFF, BENJAMIN, O.D. 1316969694 - MICHAELS, JASON 1992840862 - OUR LADY OF FATIMA HOSPITAL 1003874991 - THACKER, ROBERT 1003073073 - Cayer + Cayer LLP 1700968518 - HICKEY, BRIAN, PCNS 1003955923 - FALLON & HORAN DO INC 1902094758 - FOCUS PHYSICAL THERAPY LLC 1881635639 - HAMBLETT, KATIE, M.D. 1477523363 - RAYNER, CHRISTINE, MD 1992846315 - UNIVERSITY FAMILY MEDICINE 1043213754 - RADIOLOGY ASSOCIATES 1194807800 - CHILD, JOSIAH 1689772287 - ENT MED & SURG GRP-MIDDLETOWN 1588663587 - ALFORD, JOHN WINSLOW, M.D. 1679504286 - HAWWA, TAWFIK, M.D. 1164724068 - RODRIGUEZ BEERMAN, SARAH, LICSW 1487601977 - CLOUTIER, JAMES 1568441699 - LENGYEL, CAROLE, M.D. 1487922407 - Ocean State Psychotherapy 1154500585 - KORNEEVA, MARINA 1205830700 - GARVEY, ANNE 1912098336 - FUENTES, MIGUEL, M.D. 1275528549 - GALLUCCI, ROBERT, D.P.M 1992771562 - CAMPAGNARI, CHRISTOPHER, M.D. 1548416381 - HANG, NHU, M.D. 1003853037 - STARAKIEWICZ, MARIA, M.D. 1912972050 - MOURAD, JACK 1255367546 - CHARRON, LOUIS, LICSW 1962592410 - SHAH, ZAHEER, M.D. 1255533931 - WHITE, EMILY MAUREEN, M.D. 1760448930 - FAZIO, ROGER, M.D. 1881737534 - SAKOVITS, CARL 1841270303 - SOUTH COUNTY RADIATION THERAPY - WAKEFIELD 1730155482 - MENNILLO, ROGER, M.D. 1316979180 - KELLY, SUSAN, MD 1588607519 - MOROCCO, WILLIAM, M.D. 1942294749 - TARRO, JOHN, M.D. 1598736720 - ALLEN, SCOTT Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $53,801 $53,784 $53,584 $53,572 $53,544 $53,460 $53,139 $53,028 $52,959 $52,655 $52,301 $52,242 $52,186 $52,105 $52,071 $52,056 $51,682 $51,666 $51,663 $51,557 $51,448 $51,424 $51,400 $51,276 $51,216 $51,123 $50,974 $50,954 $50,806 $50,479 $50,476 $50,437 $50,410 $50,207 $50,191 $50,179 $50,158 $50,107 $49,981 $49,852 $49,782 $49,620 $49,526 $49,455 $49,451 $49,413 $49,319 $49,313 $49,241 $49,235 $49,210 $49,163 $49,143 $49,023 $48,967 $48,948 $48,793 $48,742 $48,664 $48,235 $48,210 $48,183 $48,154 $48,021 MedicaidManagedCare20160513.xlsx Page 10 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1609820208 - GOLOVA, NATALIA 1437243987 - CRIBB, JOHN, M.D. 1245389220 - MAYNARD, LAURI 1568690436 - CATANIO, WHITNEY, O.D. 1285725622 - JERALDO, TERESA, M.D. 1316065865 - TOWN OF JOHNSTON, DBA JOHNSTON FIRE DEPT. 1114357530 - CARDIOLOGY CONSULTANTS 1730144551 - WILLIS, PETER, M.D. 1861436362 - CLARK, KERRY, N.P. 1821096777 - SLAIBY, JEFFREY, M.D. 1982685962 - MAZLOUM, NAJI 1033447578 - KADER, AMR, M.D. 1598891327 - BOOTH, RICHARD 1053313593 - PROVIDENCE COM HLTH CTRS 1689618688 - MAILHOT, TERRIE, MD 1902050503 - RODRIGUEZ, FARIDAH, M.D. 1821102435 - GRANT, ROBERT 1083645592 - KOKTURK, TOLGA, M.D. 1801889787 - MALLARI, PAUL 1558480434 - RICHARD J RUGGIERI MD INC 1174509921 - BOIVIN, JOSEPH 1023096278 - BUROCK, JEFFREY, MD 1063402964 - PHYSICIANS OF RI MED ENTERPRISES INC 1841386554 - RASHID, WASIM, MD 1194742700 - DEPARTMENT OF PATHOLOGY 1073511218 - MARCACCIO JR, EDWARD, M.D. 1194750851 - FAIOES, IRENE, LMHC 1508964636 - GHOREISHI, SIAVASH 1558551986 - LIEVENSE, STACEY, M.D. 1164747093 - S COUNTY FOOT & ANKLE-WAKEFIELD 1225444243 - CONSTANTINE VAFIDIS MD 1760553226 - PAPA, ROBERT 1518069657 - OCEAN STATE URGENT CARE OF WESTERLY 1669554481 - DENBY II, CHARLES, MD 1992766679 - SADANIANTZ, ARA, M.D. 1114927431 - STOLL, DAVID, M.D. 1467411629 - MCMILLAN, CLARE, M.D. 1760496731 - KRETZSCHMAR, ANDREA, MD 1093806705 - ENT ASSOCIATES OF WESTERLY LTD 1659442291 - Communities for People 1700882529 - BERAHA, NATHAN, M.D. 1669400529 - PELTZ, RONNI, M.D. 1992833065 - PARSONS, KATHERINE, C.N.M 1427283035 - FILIP, ANNA, M.D. 1962598748 - CLEMENT, FIONA, C.N.M 1972714566 - WARWICK AVE PHYSICAL THERAPY 1295770279 - MANN, HENRY, MD 1164432704 - APRIA HEALTHCARE INC 1518952258 - OPHTHALMIC SURGEONS 1750311296 - ROTH, STEVEN, M.D. 1972587699 - VISITING NURSE SERVICES OF NEWPORT 1053429332 - BERNIER, ALLISON, LICSW 1386649523 - MARSOCCI, GERALD 1124024245 - WOODCOME JR, HAROLD, M.D. 1588605992 - DELUISE JR, ANTHONY, M.D. 1124220223 - LANE, COURTNEY, M.D. 1013011691 - CAPOBIANCO, MARIE 1669463279 - DEROBERTIS, ANGELA 1578713426 - WELZBACHER, KATY EILEEN, D.O. 1508990557 - BAVOUX, MARCEL, D.O. 1700883055 - RUGGIERI, RICHARD, M.D. 1013926633 - SHARP, JANE, M.D. 1235223843 - BERTHIAUME, ERIC, M.D. 1073797841 - CEDARZ MEDICAL AND COSMEDICS Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $48,020 $48,005 $47,978 $47,931 $47,896 $47,889 $47,880 $47,858 $47,832 $47,775 $47,689 $47,683 $47,644 $47,606 $47,599 $47,498 $47,221 $47,157 $47,146 $47,042 $47,017 $47,009 $46,792 $46,664 $46,654 $46,644 $46,588 $46,556 $46,495 $46,403 $46,395 $46,376 $46,292 $46,171 $46,058 $46,050 $45,999 $45,998 $45,989 $45,923 $45,908 $45,802 $45,676 $45,623 $45,500 $45,455 $45,424 $45,387 $45,287 $45,282 $45,101 $45,049 $45,022 $45,003 $45,000 $44,949 $44,948 $44,746 $44,743 $44,657 $44,617 $44,584 $44,558 $44,334 MedicaidManagedCare20160513.xlsx Page 11 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1447336904 - LIDOFSKY, SHELDON, M.D. 1952307803 - CONTE, JOHN, M.D. 1194756379 - CARR, STEPHEN, M.D. 1396713905 - CHOU, NORMAN, M.D. 1043311871 - BARBOSA, DANIEL, LMHC 1912109265 - LEYTIN, VICTORIA, M.D. 1639175763 - ROSENBERG, JERROLD, M.D. 1811059538 - ANDRIOTIS, JAMES, MD 1093870743 - PEDORTHIC TECHNOLOGIES 1023189370 - PIANKA, JOSEPH, M.D. 1477601060 - PAPPAS PHYSICAL THERAPY 1326016528 - ROCCO, THOMAS, M.D. 1124370176 - EYE HEALTH ASSOCIATES OF RI LLC 1598075459 - EYE ASSOCIATES-CRANSTON 1518067883 - HANDEL, TODD, M.D. 1164675005 - COLYER, EMILY, M.D. 1285834119 - SAINT AUBIN, CAITLIN, M.D. 1770728024 - UNIV CARDIO SURG ASSOC-DUDLEY ST 1881687481 - KHATIB, PERVEZ, M.D. 1770710865 - MMBAGA, NATU, M.D. 1427141209 - TVERSKAYA, OLGA 1972651529 - FESSLER, SARAH, M.D. 1003916875 - ZARLENGO, RAYMOND, M.D. 1164716031 - MIRIAM HOSPITAL 1528085289 - ZIZZA III, VINCENT, M.D. 1033209895 - RAMSEY, STACY, N.P. 1902803935 - KHAN, JIBRAN, M.D. 1609853431 - SARGENT REHABILITATION CENTER 1053325639 - Butler Hospital (Care New England) 1902040835 - DERMATOLOGY PROFESSIONALS 1225268790 - FATHY, HASSAN, M.D. 1013030873 - MEDICINE PEDI CLINIC RI HOSPITAL 1730379843 - BURCHARD, ANDREW, M.D. 1821015892 - SKUDLAREK-PRETE, CAROLINE, D.O. 1598817983 - LYNCH, ELIZABETH, LICSW 1760624357 - MAULE, KAREN, M.D. 1821015702 - TOWNSEND, KIMBERLEY, M.D. 1366430738 - WESTERLY AMBULANCE CORPS INC 1346307485 - PRIMARY CARE MEDICAL ASSOC INC 1073576492 - Angell Street Psychiatry, LTD 1760488506 - AZZOUZ, MOHAMED 1679541213 - HEINL, ROBERT, M.D. 1295731321 - CODAC I 1225078744 - MYATT, TRACEY, M.D. 1720109986 - NEWSTEAD, GRAHAM, M.D. 1053390138 - GIRARD, DAREN, M.D. 1932255197 - GIUSTI, LISA, LICSW 1417126251 - CRONIN, BETH, M.D. 1538164686 - NEXT STEP O AND P INC 1083668883 - BRADLEY, MICHAEL, M.D. 1760607659 - MCATEER, KRISTINA 1508842857 - ZIMMERMAN, MARK, MD 1699776187 - GENTIVA HOSPICE 1235284431 - HAYNES, CHERYL, CRNP 1346526753 - MARTIN, WESTON, LMHC 1174724322 - Anchor Counseling Center Inc 1194061580 - Lifespan Physician Group 1487651618 - MINIUTTI, JANE, M.D. 1073547030 - DIETRICH, DINUSHA, M.D. 1659555266 - IPC HOSPITALISTS OF NE PC 1033151295 - LINER, RICHARD, O.D. 1932141181 - LINER, THOMAS, O.D. 1467611962 - GROBLEWSKI, JAN, M.D. 1376740670 - Healing Arts, LLC Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $44,307 $44,294 $44,200 $44,173 $44,134 $44,080 $44,036 $44,024 $43,996 $43,995 $43,992 $43,931 $43,838 $43,802 $43,751 $43,742 $43,712 $43,622 $43,468 $43,426 $43,394 $43,310 $43,198 $43,189 $43,061 $43,038 $43,034 $42,983 $42,983 $42,945 $42,790 $42,734 $42,688 $42,670 $42,612 $42,585 $42,582 $42,565 $42,514 $42,364 $42,359 $42,336 $42,255 $42,205 $42,194 $42,060 $42,046 $41,977 $41,952 $41,929 $41,903 $41,887 $41,826 $41,802 $41,786 $41,726 $41,719 $41,696 $41,637 $41,515 $41,471 $41,419 $41,413 $41,323 MedicaidManagedCare20160513.xlsx Page 12 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1962490540 - PUKL, JODI, O.D. 1174595680 - BURCHARD, ELIZABETH, M.D. 1679567531 - HORAN, JOHN F, D.O. 1841377629 - BRISTOL COUNTY OPEN MRI 1144285081 - HUSSAIN, SYED, M.D. 1568851319 - PARTNERS IN PEDIATRICS, INC. 1073539227 - MEDICINE & LONG TERM CARE ASSC 1760405450 - PENSA, FRANK, M.D. 1902118821 - SOLANKI, SHALINI 1932107224 - SIDDIQ, SAJID, M.D. 1396913406 - PPC OF RI, INC. 1023014735 - MIS, RAYMOND, D.O. 1710109848 - DILORENZO, JANE, LCDP 1821067372 - REIBMAN, BONNIE, M.D. 1699744425 - QUAS, MICHAEL, M.D. 1790767119 - COLSON, DOUGLAS 1295704757 - FLANAGAN, CLAIRE, M.D. 1902843311 - CHOWDHRY, SAPNA, M.D. 1679742332 - MCMAHON, MEGAN, M.D. 1982687539 - KAO, PATRICIA 1679790059 - HARDY, GEORGE, M.D. 1447244579 - KIRSCHNER, STEVEN 1639249956 - TODER, J 1245233824 - RADIOLOGY ASSOCIATES INC 1477766749 - BERNABA, AMIR, M.D. 1881794329 - MARC A JAFFE MD-EP 1588632541 - CARDENAS, ALFONSO, M.D. 1710033675 - WHEELOCK, CORDELIA 1952397325 - SILVERMAN, ANDREW 1154341212 - MCGOLDRICK, KAREN, M.D. 1336170893 - KOYMEN, ALTUG, M.D. 1457307258 - LOWE, SUZANNE, C.N.M 1912174897 - PANI, ALTIN, M.D. 1407054679 - DAILEY, TANYA, M.D. 1033205745 - SAVORETTI, ALBERTO, M.D. 1841301074 - JAMES BONNER MD 1134192891 - LICHT, JONAH, M.D. 1588672810 - ROBLEY, ELISA 1346227188 - KONG, INSU 1831157908 - EPSTEIN, ALAN, M.D. 1255390290 - TESAR, BRIAN, MD 1821071622 - HARRISON, EMILY, M.D. 1679640767 - FARINA JR, ANTHONY, M.D. 1720204480 - DELLATORRE, THOMAS, M.D. 1912957572 - CIELO, DEUS J, M.D. 1265857007 - OCEAN STATE PRIMARY CARE OF WESTERLY 1285637678 - CASTREE, KATHERINE, M.D. 1952519787 - Family Tree Counseling, Inc. 1992825293 - NORTH PROVIDENCE PEDIATRICS 1134237274 - RUHL, CHARLES, M.D. 1891893277 - RAGOSTA, NANCY, D.O. 1538412044 - DOYLE, MATTHEW, O.D. 1225106354 - DVORIN, RICHARD, M.D. 1487855029 - SHALAMAR EYES N OPTICS 1346270139 - FIXMAN, LAURA, MD 1518954940 - KREIGER, STEVEN 1740254150 - SOUZA, MICHAEL, D.O. 1720311202 - Delta Consultants 1588673347 - JEWISH FAMILY SERVIC E 1518971100 - PALMER, MARY, M.D. 1093088833 - GREENBLATT, DAVID, N.P. 1548238918 - AKHTAR, MUHAMMAD 1275668006 - EAST BAY NEUROLOGY, PC 1942229109 - CLAIRBORNE, WAYNE, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $41,298 $41,178 $41,133 $40,937 $40,792 $40,774 $40,771 $40,767 $40,625 $40,580 $40,575 $40,434 $40,328 $40,295 $40,244 $40,209 $40,110 $40,044 $39,980 $39,925 $39,885 $39,836 $39,821 $39,821 $39,737 $39,665 $39,567 $39,552 $39,551 $39,539 $39,529 $39,510 $39,475 $39,461 $39,409 $39,305 $38,975 $38,945 $38,918 $38,905 $38,896 $38,844 $38,834 $38,821 $38,806 $38,799 $38,776 $38,706 $38,698 $38,462 $38,458 $38,310 $38,309 $38,285 $38,243 $38,217 $38,210 $38,145 $38,000 $37,993 $37,984 $37,982 $37,977 $37,950 MedicaidManagedCare20160513.xlsx Page 13 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1720180110 - OSHIRO, HECTOR, M.D. 1386833127 - ARTHRITIS CENTER OF RI 1770500084 - GALKIN, HARRIS, M.D. 1871793521 - GONZALEZ, ELISE 1679732846 - PATEL, SAMIR, MD 1376614966 - MCANDREW, PHILIP, M.D. 1407034994 - SPORTS MEDICINE ORTHOPEDICS & PODIATRY INC 1528010824 - CASCI, ROBERT, M.D. 1043240864 - MARTINEZ, MARIO, M.D. 1326016981 - SZLATENYI, CHARLES STEPHEN, M.D. 1952374241 - STEWART, MICHAEL, M.D. 1285630970 - CUMMINGS, MICHAEL, M.D. 1932267606 - KUPPERBERG, JERALD 1285872101 - BOWEN, KATE 1154311314 - PIZZARELLO, MARTHA 1780737296 - WE LUV KIDS INC 1275501421 - KLIBANOFF, DAVID, O.D. 1174525125 - FIELDING, KRISTIN M, M.D. 1295856540 - GARDEN CITY EYECARE INC 1093712226 - KEIGWIN, WESLEY SCOTT, D.O. 1770778714 - SHESTOK, JASON, LP 1922093251 - FERRETTI, MARCOLINO, M.D. 1558581165 - DIZOGLIO, BEATA, M.D. 1871758185 - MADDOCK, DAVID AUDOEN, M.D. 1033146931 - MALTZ, ROBERT, M.D. 1306800313 - BURNS, DAVID, D.O. 1508033853 - BLING EYEWEAR 1972500429 - FANTES, THOMAS, M.D. 1245334952 - JACCARINO, FREDERICK, M.D. 1063603553 - CRUZ, ANTONIO, M.D. 1679560684 - MALIK, AMER, M.D. 1801022322 - Mosaic Counseling & Psychotherapy, Inc 1124134895 - WHOLE HEALTH PHYSICAL THERAPY 1619978624 - FILARDO, DEBRA KAY, M.D. 1558343467 - SKURKOVICH, BORIS, M.D. 1932212081 - MANNING, JEFFREY, M.D. 1467537670 - CAREY, MICHAEL 1083626055 - St. Mary's Home For Children 1316989403 - HORWITZ STERN, ROBIN, MD 1346442563 - CHANG, MANCHIN, M.D. 1801831607 - CALENDA, ALEXANDER 1285660670 - ALLISON, NICOLE, PCNS 1922083138 - NEUROSURGERY ASSOCIATES INC. 1033224324 - LEPRE PT OF CUMBERLAND LLC 1750377149 - SAVORETTI, FRANK, M.D. 1356394407 - SOUTHERN NE ANESTHESIA AND PAIN ASSOCIATES 1194846154 - FEDERAL HILL PODIATRY GROUP 1124145388 - SEPE, ANNA MARIE, CRNP 1811217649 - VELASCO, ROBERT 1205881984 - RISICA, ROBERT, M.D. 1962685263 - NUTRITION CONSULTANTS-WARWICK 1699933382 - MATKOVIC, CHRISTOPHER, MD 1154393486 - CECE, JOHN 1821163494 - AMERICAN EYEGLASS CENTER INC 1770708885 - BASSEN, DAISY, MD 1023185675 - ERSTLING, CHRISTOPHER, MD 1467447763 - SOUKAS, PETER, M.D. 1093776296 - STOKES, RUSSELL, M.D. 1295769941 - KAMATH, SHUBA 1306947080 - RINGELING, TAMRA, LP 1417050055 - MARWIL, DANIEL, M.D. 1003033119 - BLANKENHORN, BRAD, M.D. 1932180429 - DAS, SUMIT, M.D. 1386727352 - ORTHOPEDIC SERVICES & SPORTS MEDICINE INC Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $37,777 $37,671 $37,666 $37,628 $37,555 $37,438 $37,427 $37,334 $37,331 $37,309 $37,304 $37,283 $37,239 $37,129 $37,055 $37,030 $37,023 $36,928 $36,925 $36,880 $36,854 $36,840 $36,837 $36,804 $36,667 $36,652 $36,648 $36,623 $36,582 $36,579 $36,444 $36,379 $36,341 $36,322 $36,271 $36,258 $36,242 $36,226 $36,213 $36,199 $36,189 $36,127 $36,078 $36,046 $36,038 $36,026 $36,014 $35,999 $35,995 $35,953 $35,871 $35,727 $35,708 $35,686 $35,674 $35,656 $35,584 $35,562 $35,547 $35,524 $35,514 $35,338 $35,325 $35,318 MedicaidManagedCare20160513.xlsx Page 14 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1083824528 - HEITMILLER, DWAYNE, MD 1689629461 - ROCKNEY, RANDAL, M.D. 1336121276 - MORAN, JOHN, M.D. 1487752119 - Family Associates 1528043288 - CITY OF NEWPORT (RI) 1639135783 - DIBIASIO, HEATHER, M.D. 1083805675 - PAXTON JR, EDWARD, M.D. 1306898697 - DOWD, ANDREW 1023193281 - STUART, SUSAN 1003239286 - Kevin E Baill MD & Associates, LLC 1376524868 - OTTIANO, CHRISTOPHER, M.D. 1053517565 - BIERWIRTH, ROBERT, M.D. 1497759294 - SCHNEIDER, FRANKLIN, M.D. 1982668539 - JOHN A VOLPE DPM 1194166348 - Continuum Behavioral Health / Benjamin Lederer MD 1639194772 - WATTS, DELMA JEAN, M.D. 1740268754 - VITELLI, JOHN, M.D. 1285940726 - ADVANCED ULTRASOUND MOB IMG LLC 1467546051 - CHEN, WILLIAM, M.D. 1316104730 - BERARD, ERIC, D.O. 1124070818 - BORN, CHRISTOPHER, M.D. 1346369485 - HERNANDEZ, PAMELA 1669773321 - Clinical Services of Rhode Island Inc 1366558496 - WALSH, ERIC, M.D. 1407824477 - DAVIS, MECHERY 1598714172 - SOLGA, PATRICIA, M.D. 1700953395 - SANACORE, JOHN, M.D. 1245460963 - Butler Hospital (Care New England) 1376565531 - RODRIGUEZ, PABLO, M.D. 1801818083 - NANNI, LINDA, C.N.M 1770713596 - Butler Hospital (Care New England) 1780771618 - TURILLO, MARY, LICSW 1093736274 - NUNNERY ORTH & PROS TECH LLC 1114964251 - COPPA, A MICHAEL, M.D. 1003087487 - CORDOVA, ALFREDO 1609844240 - Quality Behavioral Health 1356361927 - BROSCO, FRED, M.D. 1295754232 - WESTERLY PHYSICAL THERAPY 1235368192 - NEW ENGLAND HOME INFUSION 1215994306 - JANKOWSKI, CYNTHIA, PCNS 1265499966 - HUBBARD, LEONARD, M.D. 1639131360 - Behavioral Health Solutions 1740463728 - Tomas, Lee 1174601132 - COASTAL EYE ASSOCIATED PC 1497922645 - SIEGEL, CYNTHIA, C.N.M 1104030931 - SHAFFI, NOREEN 1174738967 - VIEAU, COLETTE, M.D. 1447402821 - OSMANSKI, JAD 1477538262 - PINEL, JAMES, LMHC 1386608164 - ANDREOZZI III, ROCCO, M.D. 1154459428 - BILLER, CAMERON, P.A. 1023091949 - GILLEN, MALINI, M.D. 1487701975 - ANDREOZZI, MARK, D.O. 1831195965 - JANIGIAN JR, ROBERT, M.D. 1629218193 - JOHNSON, NICHOLAS, P.S.Y 1912015033 - MCRAE, ROBERT, M.D. 1750305405 - MEADOW EDGE RECOVERY CENTER 1982637153 - SCHARFF III, EARLE, O.D. 1689685042 - CORSI, JOHN, D.O. 1275580714 - FADALE, PAUL, M.D. 1437146131 - POMERANTZ, MICHAEL, M.D. 1588756027 - MEYER, SUSAN 1063421659 - SCHNEIDER, STEVEN, M.D. 1861521148 - PENKALA, JAN, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $35,248 $35,200 $35,165 $35,147 $35,051 $34,997 $34,914 $34,906 $34,881 $34,821 $34,743 $34,741 $34,739 $34,735 $34,670 $34,657 $34,633 $34,630 $34,547 $34,530 $34,500 $34,483 $34,479 $34,432 $34,427 $34,415 $34,410 $34,383 $34,370 $34,362 $34,351 $34,347 $34,294 $34,293 $34,158 $34,123 $34,088 $34,080 $34,021 $33,970 $33,945 $33,879 $33,845 $33,821 $33,810 $33,808 $33,803 $33,632 $33,627 $33,613 $33,608 $33,606 $33,594 $33,588 $33,520 $33,472 $33,455 $33,416 $33,380 $33,349 $33,329 $33,307 $33,304 $33,275 MedicaidManagedCare20160513.xlsx Page 15 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1598761264 - BLAZAR WESTRICK, JUDITH, M.D. 1851311971 - FOX, GREGORY, M.D. 1306123476 - SUMMIT AVENUE 1770924565 - MARTINEZ, MICHAEL 1730152505 - SCOTT, STEPHEN, M.D. 1508924580 - FARGNOLI, DONALD 1346207602 - CAREN, CHELSY, M.D. 1003836008 - RAMOS, DONALD, M.D. 1922042514 - GASTEL, JONATHAN, M.D. 1720390818 - INFUSION RESOURCE 1023139037 - CODAC, Inc. 1750307419 - BOWLING, KATHLEEN, M.D. 1255459681 - TOWN OF LINCOLN 1427237569 - DIAZ, TAMARA, LICSW 1154425221 - Angell Street Psychiatry, LTD 1710933072 - THE WELLNESS COMPANY INC 1245312966 - GAVALYA, RICHARD, MD 1235180126 - KATARINCIC, JULIA, M.D. 1033194105 - RIEDEL, JOHN, M.D. 1972571941 - PNIEWSKI, HELENE, M.D. 1619062411 - OPALENSKI, PHILIP 1396711347 - OCEAN STATE EYE CARE 1861486664 - PAPAZIAN, MARTIN, M.D. 1114909017 - THOMAS, LONICE, M.D. 1124032271 - KARSHBAUM, STEPHEN 1356326946 - WARD, PAMELA, C.N.M 1609859479 - GRILLO, IULIA, M.D. 1063629129 - CONCILIO PEDIATRICS INC 1770788218 - MURRAY, ANNE, M.D. 1619048030 - MCMAHON, THOMAS, M.D. 1568555183 - NORTH KINGSTOWN TREATMENT CENTER 1518184605 - AARON, DANIEL, M.D. 1487721148 - DIAMOND, MARC, M.D. 1114082591 - MICHAEL SOUZA DO INC 1760637318 - CAPOVERDE, KAREN 1831176445 - DOBERSTEIN, CURTIS, M.D. 1295782787 - DOMAGALSKI, LISA, M.D. 1841397981 - GAINES, ALAN, M.D. 1689726861 - BAKER, KATHLEEN 1194804831 - PONTARELLI, BRIAN, D.P.M 1922202217 - Butler Hospital (Care New England) 1598840548 - DILORENZO, JOSEPH 1659357275 - FARB, AMY, M.D. 1518922095 - NELKEN, BEATA, M.D. 1851513394 - CODAC INC 1124015813 - KARCZMAR, PETER, M.D. 1467583534 - CORNERSTONE ADULT SERVICES INC 1245238385 - ROGERS, STEPHEN, D.P.M 1194753343 - LIEBERMAN, PAUL B, MD 1346250651 - STEIN, JOYCE 1679668479 - East Bay Center, Inc. 1891730941 - CHOICE PT OF WESTERLY 1356321483 - NASIN, MARJORIE, M.D. 1598965444 - SEBALLOS, BENILDA, M.D. 1356506398 - SULLIVAN, ELIZABETH, M.D. 1023054905 - MCGEE COGHLIN, BARBARA, M.D. 1023388287 - TURCHETTA COOPER, LIA, LICSW 1285617696 - PHILLIP, JOHN, M.D. 1922065200 - TOUBIA, NABIL, M.D. 1942621669 - SPIER, KERRI, LCDP 1902826316 - HUANG, HAO, M.D. 1942302773 - AKERMAN, PAUL, M.D. 1386627248 - FRAIOLI JR, FRANK, D.O. 1245582477 - HEALTHY EVER AFTER Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $33,274 $33,274 $33,261 $33,241 $33,204 $33,194 $33,185 $33,111 $33,063 $33,052 $33,039 $32,972 $32,944 $32,915 $32,825 $32,801 $32,797 $32,731 $32,701 $32,658 $32,653 $32,570 $32,563 $32,550 $32,524 $32,492 $32,483 $32,404 $32,368 $32,343 $32,315 $32,285 $32,267 $32,239 $32,213 $32,208 $32,178 $32,153 $32,120 $31,906 $31,872 $31,812 $31,769 $31,746 $31,741 $31,731 $31,727 $31,682 $31,658 $31,637 $31,540 $31,395 $31,373 $31,342 $31,337 $31,313 $31,275 $31,251 $31,228 $31,225 $31,158 $31,093 $31,085 $31,026 MedicaidManagedCare20160513.xlsx Page 16 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1861420333 - RH PEDIATRIC PRACTICE PLAN 1447372636 - Neuro Development Center, Inc. 1689780165 - JOSEPH, JEFFREY, M.D. 1396836748 - BRISTOL COUNTY PHYSICAL & SPORTS REHAB 1205915840 - QUALLS, C BRANDON, MD 1841328580 - JESDALE, DEBORAH 1073634374 - CENTERVILE PODIATRY 1396800850 - LUDWIG, MELISSA, MD 1184635500 - DOYLE, KELLY, LMHC 1760576581 - NADEAU, DANIEL 1063451623 - MARINO, ANTHONY 1417098526 - EXCEL PHYSICAL THERAPY RI INC 1447225941 - O'CONNELL, KEVIN, M.D. 1447233853 - VISITING NURSE SERVICE OF RHODE ISLAND 1841358587 - WOLFSON, IVAN, M.D. 1568407393 - LEIMERT, JOHN, M.D. 1093932972 - MONCHIK, KEITH, M.D. 1922200104 - HARRINGTON, BETH, LICSW 1336450261 - SARASIN, MATTHEW, M.D. 1104124734 - WICKFORD FAMILY MEDICINE LLC 1750579355 - DALRYMPLE, KRISTY, LP 1578780060 - ZELLER, KIMBERLY 1932489515 - MARCOTTE PHYSICAL THERAPY 1427042860 - OSORIO, LUIS 1255466520 - BELLUSCIO, DALE, LICSW 1851470595 - GLOD, DOUGLAS, D.P.M 1467630244 - ANDRADE, GREGORY 1447413505 - WOHLRAB, KYLE, M.D. 1407053572 - CHAN, KARMELA, M.D. 1922099472 - DUGAS, E BRIEN, M.D. 1437142213 - MORGAN, SHANE, P.A. 1790808020 - SCHILLER, JONATHAN, M.D. 1639398324 - BURMAN, LETICIA, LP 1568458727 - VITHIANANTHAN, SIVAMAINTHAN, M.D. 1801086947 - HART, KATHERINE 1447226022 - MENARD-MANLOVE, LISA 1619994217 - BEAUPRE, STEPHEN 1922388289 - NEWPORT FAMILY FOOT CARE, LLC 1316062441 - WILDER, JESSICA, C.N.M 1316046063 - SISITSKY, MICHAEL, M.D. 1760793863 - MCCORMICK, CHRISTINA 1932199858 - MAP Alcohol And Drug Rehabilitative Services, Inc 1073731337 - CULBERT, SUSAN, LP 1659377307 - LAFAZIA, FRANK, D.O. 1457570640 - HICKEY, VICTORIA, LMFT 1740495589 - Traumatic Stress Associates 1225169022 - D AND H THERAPY ASSOCIATES INC 1477589653 - MUSIAL, SANDRA, M.D. 1093888919 - SWEN, JEANNE 1508070376 - BORNSTEIN-BENNETT, MICHELLE, M.D. 1003815168 - GOODING JR, VAUGHN, M.D. 1700841616 - NOEL, LAUREN, M.D. 1154363695 - GUZMAN, LEVIS, M.D. 1831153394 - CURITORE, DANIELLE, M.D. 1215964986 - GLOOR, JAMES, M.D. 1508979220 - CRANDALL, MICHELLE, CRNP 1114038445 - KWETKOWSKI, BRIAN, D.O. 1619991064 - FARNUM, ELISABETH, M.D. 1063650315 - CHAN, MARIA, M.D. 1447254479 - BLISS JR, THOMAS, M.D. 1316214489 - DESCHENES, NICOLE, N.P. 1144287764 - NOEL, ANNE, M.D. 1720137755 - KENT ENT INC 1548442338 - PHILIP R RIZZUTO, MD, LTD Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $30,999 $30,978 $30,920 $30,918 $30,910 $30,890 $30,867 $30,801 $30,732 $30,732 $30,728 $30,701 $30,666 $30,605 $30,587 $30,497 $30,490 $30,384 $30,355 $30,334 $30,311 $30,299 $30,292 $30,231 $30,230 $30,144 $30,128 $30,105 $30,090 $30,073 $30,046 $30,041 $30,002 $29,962 $29,958 $29,944 $29,921 $29,896 $29,844 $29,838 $29,825 $29,802 $29,794 $29,779 $29,755 $29,747 $29,742 $29,732 $29,728 $29,714 $29,690 $29,648 $29,568 $29,518 $29,515 $29,515 $29,491 $29,482 $29,420 $29,384 $29,354 $29,240 $29,191 $29,184 MedicaidManagedCare20160513.xlsx Page 17 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1881884476 - All Things Considered, LLC 1558659623 - Anchor Counseling Center Inc 1043205537 - MCGREEN, THOMAS, M.D. 1851314959 - LENTRICHIA, PAUL, M.D. 1225152010 - REBOUND PHYSICAL THERAPY 1992794408 - SPECTOR, JEREMY, M.D. 1194856617 - HAYDEN, BRIAN 1659627784 - FORLASTO, DANIEL, P.T. 1811295579 - GERBER, ZACHARY 1801812227 - MASI, ROBIN, P.A. 1013930486 - WENSTROM, KATHARINE 1851547632 - HEAD, TERESA, O.D. 1700091287 - WALDRON, KELLY, LMHC 1801831862 - NEVEL, LAURA 1972935039 - PRYTULA, ERIC, O.D. 1972819589 - FEENEY, JUSTIN, D.O. 1205840659 - YOUNES, MARIA, M.D. 1598724007 - SOUTH COUNTY ARTIFICIAL LIMB 1639105810 - CORCORAN, CELESTE, M.D. 1871587550 - WOLFGANG, ROBERT, D.O. 1043278773 - WRAY, WILLIAM, P.A. 1639103617 - MAZZAGLIA, PETER, M.D. 1811068141 - PALUMBO, KEVIN, M.D. 1306816251 - S COUNTY WALK IN PRIMARY CARE 1427064542 - ROUSSEAU, JULIE, N.P. 1861513350 - WOODBURN, ROBIN, LICSW 1932152147 - PARKS, ROBERT 1558306225 - SALAHUDDIN, KAZI, MD 1639164270 - STRAUS, JOHN, M.D. 1346467560 - SZABADOS, ERICA, M.D. 1114204278 - BENNETT, MAEVE, N.P. 1629162060 - RUELOS, JORGE 1497003586 - PAPPAS PHYSICAL THERAPY OF WARWICK 1649384355 - CARDIOLOGY ASSOCIATES & INTERNAL MEDICINE GROUP 1659457133 - MARGOLIS, PETER, M.D. 1255416475 - REXFORD, LINDA, M.D. 1912199795 - HESLIN, PRISCILLA, LICSW 1548352990 - DOSREMEDIOS, EDMUND, D.P.M 1699824474 - MEER, OMAR, M.D. 1619024130 - ENT & ALLERGY INC 1508074188 - MORAR, DORIANA, MD 1437235983 - FISHMAN, ANGELA, M.D. 1003935727 - SOSCIA, JASON 1407141724 - KLAUS, CHRISTOPHER, M.D. 1598780793 - LEWIS BARTE, CYNTHIA, LICSW 1801823513 - SIMSON CARTER, DOROTHY, LICSW 1124025937 - LUKS, FRANCOIS, M.D. 1912944943 - O'SHEA, CAROL, M.D. 1851422604 - MOSS, VICKI 1548550171 - PIECYK, TARAMARIE, N.P. 1699700054 - CURRY, LAURIE, M.D. 1811151707 - COLEMAN, NICOLE, D.O. 1538595525 - SASSON, RENATA, CRNP 1508937889 - SEPE, THOMAS, M.D. 1407933419 - CIANCAGLINI, DOREEN, M.D. 1558597245 - SAYEGH, RICHARD, D.O. 1316019292 - TROMBATORE, SEBASTIAN, M.D. 1073694147 - KOSTER, DIVYA, M.D. 1316108046 - HIMELFARB, NADINE, M.D. 1811292667 - D'AGOSTINO PISATURO, SALLIE 1699756791 - ARCAND, MICHEL, M.D. 1750456042 - SETTIPANE, ROBERT, M.D. 1801907571 - Child & Family Services 1548268303 - GREER, JAMES, MD Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $29,175 $29,151 $29,093 $29,090 $29,085 $29,066 $28,973 $28,958 $28,890 $28,886 $28,845 $28,826 $28,781 $28,773 $28,724 $28,707 $28,659 $28,657 $28,651 $28,649 $28,610 $28,601 $28,600 $28,597 $28,581 $28,476 $28,474 $28,466 $28,451 $28,442 $28,418 $28,281 $28,273 $28,256 $28,255 $28,246 $28,220 $28,203 $28,197 $28,167 $28,039 $27,971 $27,971 $27,962 $27,905 $27,902 $27,902 $27,863 $27,845 $27,842 $27,828 $27,825 $27,823 $27,820 $27,783 $27,766 $27,763 $27,759 $27,739 $27,689 $27,646 $27,641 $27,615 $27,580 MedicaidManagedCare20160513.xlsx Page 18 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1235398041 - SURGI CARE INC 1700876000 - WELCH TRAYNER, HEIDI ANNE, N.P. 1194702530 - TEIXEIRA, GILBERT, D.O. 1215007109 - POLSELLI JR, AMATO, M.D. 1427364157 - AOUDE, MONA, O.D. 1881681310 - KRIZ, PETER KARL, M.D. 1225037435 - ISAAC JR, JOHN, M.D. 1396730453 - LIBERTO, PETER 1952337511 - CHAUDHRY, JAMIL, MD 1013943240 - MURRAY, MARY, M.D. 1720072549 - EMERY, DOUGLAS, M.D. 1154583615 - SCOTT, THOMAS 1205850989 - SVIOKLA, SYLVESTER, M.D. 1629347638 - BELOSLOUDTSEVA, NATALIE, M.D. 1861414047 - KLEIN, ERIKA, M.D. 1093889214 - UNIVERSITY PULMONARY ASSOCIATES 1851401285 - TOWN OF NORTH KINGSTON RESCUE 1831184936 - LABOVITZ, ALEXANDRA ELIZABETH, M.D. 1982873121 - PALADIN PHYSICAL THERAPY 1144534447 - Anchor Counseling Center Inc 1326097247 - CURRAN, EILEEN, LICSW 1285875062 - WOODRUFF, MARIANNE, N.P. 1710983416 - LOWNEY, JOSEPH, M.D. 1659472249 - KELLEY, FREDERIC, O.D. 1932444387 - BERRYHILL, JOSEPH, LP 1831144252 - HIRSCH, HOWARD, M.D. 1881874196 - DR ELISSA M CONTILLO INC 1205811635 - ALVES, JOYCE, D.O. 1215154190 - GLASER, GERALD 1083898498 - RI HEALTHCARE FAMILY PRACTICE 1164595609 - SPORTS AND SPINE PHYSICAL THERAPY 1326282468 - KAO, HUNG TEH, MD 1215031661 - BRODY, MARK, MD 1669501417 - ANGELO J BIGELLI, DPM 1912264987 - BIANCHINO, ELIZABETH, PCNS 1508081498 - MCNAMARA, MEGAN JANE, M.D. 1124027297 - KORNWITZ, NORMAN, M.D. 1376861096 - MANISCALCO, KATHLEEN, C.N.M 1215953716 - CROWTHERS, LAINA, M.D. 1679621072 - GRODEN CENTER INC 1992703938 - NG, THOMAS, M.D. 1477708949 - NEW YORK MEDICAL CONSULTANTS 1407995640 - ORTIZ, ROBERTO, M.D. 1134206360 - DEJESUS, ELIZABETH, M.D. 1972759975 - CUNNINGHAM, CHRISTOPHER, LP 1497742431 - NISSENSOHN, MICHAEL, M.D. 1609895804 - VANVLEET, MARCIA, M.D. 1760769640 - WESCOTT, JOHN 1417058264 - BASSEL, HOWARD, M.D. 1952390213 - SCHREIBER, DAVID 1295893790 - LYN MARIE BEHMKE OD LTD 1225207038 - DR PAUL A DECESARE 1386815892 - COPPOLA MEDICAL ASSOCIATES LTD 1154360543 - CENTOFANTI, JOSEPH, M.D. 1730164211 - SCHWARTZ, JAMES, M.D. 1255373973 - CURRAN, JAMES, LP 1639113020 - Butler Hospital (Care New England) 1679526339 - GRECO, RICHARD, M.D. 1528118031 - MARYESKI, STEPHANIE, M.D. 1295773026 - PALLANT, ADAM, M.D. 1992056758 - Compass Rose Psychiatry LLC 1215964465 - ORTHOPAEDIC ASSOCIATES INC 1265557557 - LEHRMAN, LAURA 1215946827 - SOUTH COUNTY INTERNAL MEDICINE Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $27,573 $27,558 $27,526 $27,463 $27,425 $27,390 $27,370 $27,355 $27,329 $27,329 $27,295 $27,277 $27,222 $27,205 $27,183 $27,144 $27,139 $27,120 $27,104 $26,978 $26,948 $26,939 $26,926 $26,918 $26,893 $26,880 $26,845 $26,824 $26,723 $26,723 $26,716 $26,703 $26,701 $26,660 $26,563 $26,515 $26,473 $26,429 $26,421 $26,418 $26,391 $26,317 $26,280 $26,274 $26,224 $26,206 $26,185 $26,178 $26,162 $26,147 $26,129 $26,127 $26,126 $26,104 $26,094 $26,091 $26,084 $26,052 $26,049 $26,039 $26,013 $25,966 $25,943 $25,927 MedicaidManagedCare20160513.xlsx Page 19 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1871816488 - DUQUE, MICHAEL SISON, M.D. 1982764288 - DR GERALD W GLASER OD AND ASSOCIATES INC 1427055284 - LANNA, THOMAS, M.D. 1285938118 - ALLEN, RACHEL, CRNP 1376582692 - YOLEN, STEVEN, M.D. 1609847078 - CHABOT, STEPHEN, MD 1942235122 - Anchor Counseling Center Inc 1225371867 - RHODE ISLAND AND SPORTS MEDICINE INC 1417944190 - BANSAL, RAJNISH, M.D. 1982995247 - WILLIS, CHRISTOPHER 1407162464 - ZERDELIAN, LISA, N.P. 1316997588 - FAYEK, MARIAM, M.D. 1891093332 - GATES, HOLLIS, LMHC 1598762734 - MANYAN, JESSICA, D.O. 1417235078 - PERNARELLA, LIZ ANNA, LMHC 1992914808 - MEHRING, LUCILLE, MD 1477614618 - LEE, ALEXANDER, M.D. 1245430800 - JACQUES, HOLLY 1801904958 - GIBSON, SHARON, M.D. 1801813894 - HEINL, ANDREE, M.D. 1689681066 - CORROW, CARL, O.D. 1801835939 - CLOUTIER, DAVID 1053370973 - CASTRO, NANCY, N.P. 1205817103 - DIROBBIO, CARL 1689602641 - CLEGG, KEVIN, M.D. 1861592156 - CARAYANNOPOULO, ALEXIOS, D.O. 1699768291 - LESPINASSE, MAGGY, M.D. 1881709616 - GRANDE JR, JOSEPH, D.O. 1588792543 - Family Service of Rhode Island, Inc. 1255545091 - LOCKWOOD, LEA, LP 1356348817 - BINEK, ROBERT, M.D. 1114108669 - SOSA-MELO, ANDREA, M.D. 1669492708 - GRIFFITH JR, ROBERT, M.D. 1891765665 - GOMES, HEIDI SOPHIA, M.D. 1255419602 - PATEL, AMRUT 1942333877 - ALIZADEH, AMIR, M.D. 1295723773 - REILLY III, PHILIP, M.D. 1184958548 - COMPLETE BODY PHYSICAL THERAPY PC 1245290675 - CAVA, JOHN, M.D. 1518298926 - Women's Resource Center 1366739666 - LUCIER, BRIAN, LP 1104874320 - COLLINS, DANIEL 1356373633 - BANSAL, SUDHIR 1750410361 - ATMED PRIMARY CARE INC 1033145859 - SAHAR, CHRISTOPH, M.D. 1508848821 - JAFFE, MARC, M.D. 1669470886 - LEVIN, WILLIAM, M.D. 1841297470 - COULOMBE, TRISTE, M.D. 1760642698 - DANIELS, ALAN, M.D. 1598891855 - BELTONE NEW ENGLAND 1689699175 - MARTINO, PATRICIA, N.P. 1669683850 - WILLS, HALE, M.D. 1912031923 - FERREIRA, NANCY, LMHC 1316200926 - KOZEL, MARGARET, M.D. 1073684361 - TRUPIANO, PHILIP, M.D. 1144224536 - POWERS, COLLEEN, M.D. 1891860029 - SOWA, MARTA, M.D. 1720099179 - SLEEPMED INC 1497923296 - ALPIN, JULIA, D.O. 1083789218 - HINES, THOMAS, M.D. 1457413171 - YIP, AGUSTIN, MD 1366424533 - SHAFMAN, TIMOTHY, M.D. 1114985041 - BELANGER, MICHAEL, M.D. 1043294630 - STEINMETZ, GREGORY, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $25,861 $25,838 $25,837 $25,808 $25,772 $25,757 $25,753 $25,711 $25,708 $25,658 $25,657 $25,640 $25,583 $25,537 $25,511 $25,496 $25,482 $25,462 $25,459 $25,434 $25,420 $25,417 $25,397 $25,392 $25,385 $25,385 $25,343 $25,339 $25,332 $25,284 $25,283 $25,283 $25,276 $25,261 $25,240 $25,228 $25,209 $25,206 $25,167 $25,156 $25,116 $25,110 $25,108 $25,076 $25,028 $25,006 $24,995 $24,986 $24,901 $24,893 $24,861 $24,834 $24,807 $24,779 $24,760 $24,758 $24,756 $24,701 $24,669 $24,655 $24,632 $24,608 $24,604 $24,566 MedicaidManagedCare20160513.xlsx Page 20 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1922007095 - MIRRER, FRANKLIN, M.D. 1518288075 - FERRI, VITO, D.O. 1679516082 - PAZULINEC, ROBERT, LP 1619157468 - SILVER SPRING HEALTHCARE MANAGEMENT SURGERY 1346278421 - JISKOOT, WENDELA, LICSW 1063618783 - GRIMES, KRISTIN, M.D. 1982771572 - BACCARI, JANIS, M.D. 1851642664 - SOLAWON, ADEDAMOLA, N.P. 1457456857 - ROBERTS, DEBORAH 1104859271 - AZAM, MUNAWAR, M.D. 1366551202 - GREEN, THOMAS, D.O. 1114933496 - WILBERGER, MICHAEL, MD 1073558680 - SPECIALTY HOME CARE SERVICES 1265581995 - FIRST, LEONORA, M.D. 1568693497 - BICA, NATASHA, M.D. 1013178623 - PUTTICHANDA, SHARATH, MD 1467670927 - WILLIS, CHRISTINE, M.D. 1194896480 - VANZUIDEN, PAUL E, M.D. 1891790283 - PEDUTO, STEPHANIE, M.D. 1306980081 - STEIN, ABBY 1730146614 - SILVERSMITH, HOWARD, M.D. 1003005497 - NINIGRET ORTHOPEDICS, INC. 1629199856 - GRAHAM J NEWSTEAD MD INC 1760413199 - SLAVIT, MICHAEL, LP 1578634812 - PALUMBO, THEODORE, M.D. 1699750646 - BONDS HARMON, HEATHER, LICSW 1720035264 - PALUMBO, MARK 1467403097 - RAJABIUN, DAVID 1467498345 - ZIEGLER, JOY, M.D. 1912944414 - YANNI, PENELOPE, MD 1891758181 - STALEY, NANCY, P.A. 1063611481 - EDORO, OKOSUN, M.D. 1003021254 - LIVSEY, CYNTHIA 1013903400 - FERRI, FRED, M.D. 1659317477 - PETERS BOWDEN, KAREN, LICSW 1316125453 - SENIOR HELPERS 1477518330 - EBERSON, CRAIG, M.D. 1770770547 - SURGICAL & COSMETIC DERMATOLOGY OF RI, LLC 1801987615 - CAMERON, DAVID, M.D. 1013031673 - CUMBERLAND RESCUE 1780604140 - D'ALESSANDRO, VINCENT 1649380247 - ZAROOGIAN, MARY JEAN, LICSW 1174525570 - REKAS, MICHAEL 1346373610 - BARONE, MARK, LICSW 1316944127 - KURKCHUBASCHE, ARLET, M.D. 1669522280 - LEDDY, ELIZABETH 1811974264 - GILBERT M TEIXEIRA DO 1114995115 - MACHATA, KARL, M.D. 1215122874 - POWELL, CYNTHIA, LCDP 1578547592 - NEUHAUSER, ANDREW, M.D. 1962458604 - SANDERSON, MEGAN 1063460772 - TURAL, CANAN, M.D. 1891098125 - Hope Counseling & Mediation Center, LLC 1225375165 - BRODEUR, MICHAEL, LP 1417941105 - ELEVADO, MORRIS, M.D. 1144559188 - MEDINA, JESSICA, O.D. 1730498171 - GOMES, ELIZABETH, D.O. 1891049292 - SONUGA, OLAITAN, F.N.P 1144298738 - COX, JEFFREY, M.D. 1588089759 - Inpatient Medical Associates of Providence LLC 1306809603 - SABOURIN, JONATHAN, D.P.M 1174511265 - FUENTES, KARLA, M.D. 1437264330 - WALLACE, STEPHEN 1790193522 - S. COUNTY ANESTHESIA ASSOCIATES Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $24,564 $24,559 $24,545 $24,520 $24,497 $24,495 $24,472 $24,469 $24,466 $24,450 $24,417 $24,405 $24,395 $24,391 $24,358 $24,349 $24,301 $24,289 $24,286 $24,248 $24,227 $24,198 $24,195 $24,185 $24,128 $24,104 $24,101 $24,093 $24,079 $24,075 $24,064 $24,060 $24,057 $24,048 $24,029 $24,024 $24,018 $23,998 $23,972 $23,952 $23,916 $23,898 $23,873 $23,870 $23,866 $23,864 $23,864 $23,852 $23,851 $23,829 $23,793 $23,793 $23,787 $23,747 $23,738 $23,734 $23,721 $23,714 $23,703 $23,686 $23,661 $23,651 $23,643 $23,591 MedicaidManagedCare20160513.xlsx Page 21 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1639218175 - ERICKSON, PETER 1174585723 - CONCILIO, GERARDO, M.D. 1760446082 - KHAN, FARIDOON 1750360236 - TOOLAN, BETH, M.D. 1972673689 - Bridgemark, Inc 1053364984 - CINEAS, SYBIL 1982770764 - MANNARELLI II, LEONARD, D.O. 1659706802 - HOGAN, KATHERINE 1972540565 - NORMAN, JAMES, LICSW 1013083500 - CUMMINS MCLAUGHLIN, STACIE, LICSW 1962528406 - GERSHON, JONATHAN, LP 1881679512 - VILLALBA II, RENDUELES, MD 1912994443 - FINIGAN, JOHN, M.D. 1891827507 - FRANCHETTI, SUSAN, LICSW 1770632523 - PARKER, KATHLEEN, N.P. 1740562974 - MOLLO, SHYLA, LICSW 1023313483 - Tannerhill, Inc 1356498117 - WEEKS, CHRISTIAN 1750467205 - SPAIGHT, DEBORAH, M.D. 1518170745 - FILOMENO, JULIO, LMHC 1851386189 - GRENANDER, ANGELA, M.D. 1629389994 - ONDRUS, REBECCA, D.O. 1134119381 - H & T MEDICALS INC 1790805968 - HEPEL, JAROSLAW, M.D. 1760676548 - FAMADOR, LIZA ANN, M.D. 1205886272 - LIMBIRD, RICHARD, M.D. 1770591190 - ROUSE, DWIGHT JONATHAN, M.D. 1265433262 - MOHLMAN, LESLIE, M.D. 1669529004 - MONCHIK, JACK, M.D. 1871639427 - SERABIAN, NANCY, M.S. 1770534356 - GERTRUDES, SUZANA 1992817431 - Northwest Community Health Care dba WellOne Primar 1851385652 - GOEL, RITU, M.D. 1023106614 - REGNANTE, RICHARD, M.D. 1184630717 - EZRA L GALLER MD LTD 1932192432 - STEWART, KRISTEN 1548240971 - HIGHT, ELLEN, M.D. 1114912441 - DENNISON, JANE, M.D. 1063744043 - CBS THERAPY 1700817269 - KALMOWITZ, BRETT, M.D. 1205034311 - SAYEED, SYEDA, M.D. 1235348335 - EAST BAY ENDOSCOPY CENTER 1891782173 - CENTRAL COVENTRY FIRE DIST/AMB 1851518732 - GOT, CHRISTOPHER, M.D. 1558632851 - KRAMARZ, JAMES, P.A. 1841216256 - SIMEONE, LOUIS, D.P.M 1386964112 - SCHATZ, JOANNA, M.D. 1982617767 - REGAN, WENDY, M.D. 1285746925 - ELRAYESS, FADYA, M.D. 1477739100 - JACKSON, AUTUMN, O.D. 1154393023 - JEWELL, ROBIN 1659489714 - DUFF, BRIAN, M.D. 1912966193 - ADAMS, LEAH, M.D. 1255443784 - LANDAU, LESLEY, LP 1194810507 - BELAY, NEBYOU, MD 1811025026 - RONALD MANCINI & ASSOCIATES 1588611503 - MULLANEY, JOAN, N.P. 1619059367 - WARREN, STACEY, LP 1326115346 - CHENETTE, MELANIE 1598853566 - CAMPANILE, CHRISTOPHER, M.D. 1477732493 - SIMPSON, MARY CHRISTINA 1104890292 - CARDI, JAMES 1114954583 - MOON, SUMI, MD 1033199468 - MANZO, PIERRE, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $23,590 $23,582 $23,569 $23,559 $23,557 $23,527 $23,521 $23,489 $23,486 $23,459 $23,453 $23,408 $23,367 $23,357 $23,353 $23,348 $23,347 $23,335 $23,328 $23,308 $23,270 $23,269 $23,251 $23,242 $23,182 $23,161 $23,143 $23,133 $23,115 $23,105 $23,095 $23,085 $23,085 $23,081 $23,037 $23,006 $22,996 $22,992 $22,974 $22,953 $22,931 $22,923 $22,920 $22,913 $22,886 $22,874 $22,820 $22,780 $22,764 $22,728 $22,727 $22,675 $22,663 $22,647 $22,615 $22,607 $22,566 $22,547 $22,547 $22,521 $22,459 $22,439 $22,424 $22,415 MedicaidManagedCare20160513.xlsx Page 22 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1780904599 - GREGORY, CARRIE 1427489657 - ADELAIYE, ADEBOLA, N.P. 1407878432 - BAIRU, WUNESH, LMHC 1366506164 - INGRAHAM, JAMES, MD 1659453041 - BUCHANAN, ANNE, N.P. 1285821777 - ZHOU, JOSEPH, M.D. 1891743068 - MOSS, DAVID, M.D. 1114988243 - KLIPFEL, ADAM, M.D. 1659316222 - GAZDER, HUMAYUN, MD 1205894532 - MATRIX SPORTS MEDICINE & PT THERAPY INC 1386964377 - MCCLOSKEY, MICHELLE, M.D. 1982699625 - NEWELL, CHARLES, O.D. 1154368926 - SHALVOY, ROBERT, M.D. 1437275104 - GERSHON, MICHAEL, LP 1093760761 - CARTER, ELIZABETH, LMHC 1598762346 - SUD, PUNEET, M.D. 1821293655 - MYINT U, AYE, MD 1770582876 - DYER, CANDACE, M.D. 1053561621 - NERI, TERI 1902949571 - DONATELLI, JOANN 1265535355 - SNYDER, AMY, M.D. 1467449959 - SHAW, JUDITH, M.D. 1366505216 - SANFORD, WENDY, LMHC 1417015496 - BOYLE, MICHELLE, M.D. 1396939047 - ALAO, ABIOLA, MD 1679875900 - PUGLIESE FAMILY EYE CARE 1740428754 - BENNETT, KIMBERLY, LICSW 1629081153 - HERMANCE, TRAVIS, LICSW 1720190465 - BENSON, SUSAN 1881600120 - SOLOMON, JOEL, MD 1477500783 - PATRICK-MACKINNON, SUSANNE, M.D. 1487641411 - KERZER, DAVID, D.O. 1619224789 - RHODE ISLAND LIMB COMPANY 1023070695 - HAINES, LISA, M.D. 1134215221 - MALIK, TARIQ, M.D. 1003886631 - Gateway Healthcare, Inc. 1780622860 - CROSS, GLEN, LMHC 1699790121 - BREEN, CHRISTOPHER, M.D. 1811072986 - MATHIEU, MICHELE, M.D. 1275595993 - ATKINS, MARCY, LP 1265403554 - ROMANO JR, RONALD, D.O. 1811051857 - ALBRIKES, JACQUELINE, N.P. 1902059785 - MAIDA LUQUETTA, JORGE, M.D. 1548360886 - DAMBEK, SUZANNE, M.D. 1932196904 - YAMADA, HUGO, M.D. 1003812769 - LOWNEY, JOHN, D.O. 1619036589 - PROVIDENCE EYE ASSOCIATES 1285988790 - SILVER SPRING CARDIOLOGY 1558477372 - Child & Family Services 1609915081 - O'BRIEN, BARBARA, M.D. 1093813313 - OKPARA, NNENNA, M.D. 1780710350 - REDONDO, AIDA 1447317334 - FUNKQUIST, MARIA, LICSW 1316071855 - ALPHA PHYSICAL THERAPY INC 1821116930 - TOWN OF BRISTOL 1003836057 - TURTLE, WILLIAM, M.D. 1720095953 - CORROW, JOHN, O.D. 1154314748 - GURNEY, ELLEN, M.D. 1841236239 - RAMOS TORELLI, ADRIANA, LICSW 1306117833 - JOHNSON, NATHANIEL, LP 1184643363 - AVILA, STEPHANIE, C.N.M 1629250527 - DREISBACH, VALLEY, M.D. 1710280037 - APPLETON, JAMES, D.P.M 1023012572 - JARBEAU, JENNIFER, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $22,401 $22,367 $22,349 $22,332 $22,322 $22,302 $22,300 $22,294 $22,292 $22,291 $22,278 $22,274 $22,272 $22,270 $22,253 $22,252 $22,231 $22,229 $22,221 $22,219 $22,212 $22,211 $22,192 $22,190 $22,182 $22,170 $22,167 $22,153 $22,135 $22,127 $22,114 $22,112 $22,108 $22,098 $22,095 $22,091 $22,077 $22,072 $22,042 $22,037 $22,005 $21,982 $21,943 $21,905 $21,866 $21,835 $21,815 $21,812 $21,809 $21,801 $21,770 $21,762 $21,741 $21,721 $21,689 $21,685 $21,674 $21,652 $21,646 $21,620 $21,600 $21,559 $21,556 $21,524 MedicaidManagedCare20160513.xlsx Page 23 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1760545685 - MUNRO, JOSET 1689837098 - WHITE, DEBORAH, C.N.A 1154317600 - KOSTRZEWA, DARIUSZ, M.D. 1548383631 - PREHAB SPORTS MED SERVICES INC 1487987863 - FUCCI, CHRISTINA, LP 1073714762 - HALLET CTR FOR DIABETES & ENDO 1942491923 - COITE, CINDY 1528368354 - SNOW, BETHANY, P.A. 1285927384 - MILEIKOWSKY, JENNIFER, M.D. 1184794158 - COURNOYER, ANDREA, LCDP 1700871449 - CORVESE, ARTHUR 1124028378 - COLONNA, THERESA, O.D. 1043454663 - CEDAR HOME HEALTH 1053412767 - ROSENBERG, MARK, M.D. 1275694986 - BROWN, DOROTHY 1568457323 - BRECHER, KEITH, M.D. 1740292390 - ELLIS, DEBORAH 1265615660 - GOODING, ELIZABETH 1154409209 - DEMICK, JACK, LP 1053552299 - LIFEPACT 1043382732 - Newport County Community Mental Health Center, Inc 1497743330 - MISKOVSKY, JOHN, M.D. 1386699064 - CICERCHIA, DAVID, M.D. 1366758724 - KERGE, MAROL, RN 1457443392 - PARDEE, SARA 1720087919 - CHARPENTIER, KEVIN, M.D. 1952618720 - SINGLETON, MARISA, CRNP 1770615569 - Psychotherapy Services Of R.I., Inc. 1215908637 - HUGHES, BRENNA LYNNE LYNNE, M.D. 1689812570 - RADLINSKI, HEIDI, M.D. 1477618528 - SHARMA, KUNJBALA, M.D. 1295867661 - TOWN OF SMITHFIELD 1104147446 - LAKIN, ASHLEY, D.O. 1346279528 - ZAYAS, VLADISLAV 1861570871 - YOUNES, CLAUDE ELIAS, M.D. 1851597033 - DAVID B STOLL MD LTD 1275813248 - STELLO, JANINE, N.P. 1609986751 - SCHMIDT, SCOTT, M.D. 1346354156 - GIOVANNI, JEANNINE, M.D. 1932309598 - ADAMS, KELLY 1184602765 - OBSTETRICAL ASSOCIATES - FALL RIVER 1023295631 - MEEHAN, ERIC, D.P.M 1952565889 - CURTICE, WALTER 1114119187 - HARRIS, ADAM 1841352556 - Butler Hospital (Care New England) 1679767453 - ALTEZ MONTES, ANNE CAMILLE, M.D. 1275696106 - JOHNSON GALLAGHER, NANCY, LICSW 1457643348 - IACIOFANO, GINA 1760464150 - ROSENTHAL, RANDALL, M.D. 1467514182 - CERULLO, HILARY, DO 1437558988 - CONSTANTINE, SANDRA 1770577298 - TERLATO, JOSEPH, M.D. 1588810956 - HAGOS, HANA 1245551571 - FUREY, CHRISTOPHER 1851398549 - LOPORCHIO, SALVATORE 1619067386 - PILGRIM PARK MEDICAL ASSOCIATE 1972641413 - ALEXANDER PHILIPS MD INC 1679838387 - CULLEN, STEPHEN, P.A. 1093798910 - SOSCIA, PATRICIA, M.D. 1336263102 - PRESCOD, GLENN 1164561981 - All Things Considered, LLC 1942541750 - Leandre, Kimberly 1194732487 - COSTANTINO, STEPHEN, P.T. 1679665111 - LEPOER, KRYSIA, D.P.M Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $21,514 $21,513 $21,500 $21,488 $21,486 $21,469 $21,444 $21,385 $21,370 $21,365 $21,354 $21,335 $21,333 $21,303 $21,271 $21,260 $21,248 $21,243 $21,243 $21,228 $21,202 $21,193 $21,193 $21,192 $21,181 $21,176 $21,131 $21,093 $21,065 $21,058 $21,037 $21,020 $21,011 $20,999 $20,988 $20,982 $20,979 $20,966 $20,954 $20,951 $20,947 $20,906 $20,892 $20,887 $20,879 $20,879 $20,875 $20,868 $20,852 $20,825 $20,821 $20,798 $20,791 $20,774 $20,774 $20,754 $20,736 $20,705 $20,680 $20,678 $20,622 $20,617 $20,580 $20,579 MedicaidManagedCare20160513.xlsx Page 24 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1629120134 - FORCELLI, DEBORAH, LICSW 1023050531 - RICH, DEBORAH, M.D. 1174851117 - LEVESQUE, CAITLIN, N.P. 1285739813 - KING, GARY 1245284447 - BONITATI, ALICE 1336226125 - COVENTRY IMAGING ASSOC LLC 1750345492 - HUMBYRD, DANNY, M.D. 1902877178 - BUTLER, CHRISTINE, N.P. 1598959629 - HASHMI, SADAF, MD 1679678544 - COTE, PHILIPPE, M.D. 1639231673 - CARBERRY, CASSANDRA, M.D. 1992796106 - EGER, RENEE, M.D. 1740347822 - BOUCHER, MATTHEW, LCDP 1972514305 - FAMILY INTERNAL MEDICINE 1699715813 - MILLMAN, RICHARD, M.D. 1831408558 - AdCare Hospital Of Worcester, Inc. 1730120031 - GREER, TERESA, MD 1821179334 - Communities for People 1932175866 - VREES, MATTHEW, M.D. 1124086053 - SILVERMAN SHEPARD, SHARON, MD 1245367184 - ARAKELIAN, ROXANNE, LICSW 1588648356 - MORTON, JOHN, M.D. 1093130338 - TRAN, TANYA, LP 1164583779 - PATEL, SANDHYA, MD 1225027766 - ADRAIN, ALYN, M.D. 1952485393 - LEMOS JR, LIONEL, O.D. 1386657096 - EIBEL, LINDA, N.P. 1467479543 - GANGE, MICHELE, M.D. 1912926684 - GIROUARD, LAURICE, LICSW 1174514210 - DEBLASIO JR, PETER, M.D. 1275597668 - COPPES, MARK, M.D. 1861447831 - LONGWAY, CYNTHIA 1528092293 - BRODERICK, RYAN, M.D. 1356367916 - DALUISIO COYKENDALL, LAURA, LMHC 1114227436 - RAMOS, DAVID, N.P. 1700986478 - BRADLEY, HELENE 1376535757 - TAFT, SUSAN, M.D. 1285685560 - DEMIRS, STUART 1609043199 - SHARMA, KAPIL, M.D. 1487748729 - EMMICK, CHRISTINE, M.D. 1194884999 - COELHO, DENISE, LMHC 1386680247 - CONSULTANTS IN GASTROENTEROLOGY-JOHNSTON 1952742934 - BURNS, KRISTEN, O.D. 1316982820 - ARSHAD IQBAL MD 1245246222 - DOUCETTE, JOANNE, LP 1124059555 - TIPIRNENI, PRABHAKAR 1992813273 - IANNUCCILLI, NICHOLAS, M.D. 1912031295 - KOSTER, MICHAEL, M.D. 1023350485 - POU, CHANTA, CRNP 1841541109 - COSTA, AMANDA, N.P. 1255497988 - BLACK, SUZANNE 1932276508 - JABLONSKI, MARIA 1639440449 - LAMBERT, SASHA, LP 1609804095 - GRUBER, BARBARA, LMHC 1346458205 - BURGARD, MICHAEL, MD 1194729863 - SHEFF, JORDAN, D.P.M 1356461263 - RAZZA, HEATHER, LMHC 1104871003 - Silver Spring Healthcare 1437348505 - DR CAROL J HAMEL OD INC DBA DRS HAMEL & WALDORF 1013959808 - TATE, CHARLENE, M.D. 1770765976 - MEREDITH, THOMAS, M.D. 1366533317 - GASPAR, MARIE, LMFT 1043443385 - DOUGLAS, JESSICA, N.P. 1629148663 - EMBLETON, NANCY, LICSW Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $20,571 $20,560 $20,529 $20,512 $20,498 $20,451 $20,442 $20,412 $20,406 $20,360 $20,360 $20,359 $20,354 $20,351 $20,329 $20,326 $20,297 $20,295 $20,277 $20,245 $20,234 $20,233 $20,219 $20,211 $20,189 $20,159 $20,143 $20,061 $20,054 $20,038 $20,031 $20,013 $20,011 $19,998 $19,992 $19,982 $19,978 $19,953 $19,950 $19,912 $19,899 $19,892 $19,865 $19,864 $19,861 $19,860 $19,821 $19,801 $19,785 $19,780 $19,780 $19,766 $19,762 $19,755 $19,751 $19,736 $19,720 $19,717 $19,716 $19,692 $19,685 $19,685 $19,684 $19,683 MedicaidManagedCare20160513.xlsx Page 25 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1548437395 - WU, DIANA YING, M.D. 1689732497 - ABRAHAM, JACOB, MD 1316057409 - SIMOES, MEERA, M.D. 1912136086 - ELHAMAMSY, SALAHELDIN, M.D. 1992759005 - LAVIGNE, BRADFORD, M.D. 1255325932 - POWERS, GEORGE, M.D. 1659377315 - MATHIEU, ROBERT, M.D. 1366488264 - KOEHLER, MELANIE, PCNS 1922256544 - DENNEWITZ, SARAH, LMFT 1114122595 - MILLER, RICHARD, MD 1063824837 - MITTNER, MARGARET, LICSW 1770645525 - BROWN III, GEORGE, O.D. 1982842100 - PRICE, LEIGH, P.A. 1881650323 - MAHER III, JAMES, M.D. 1619998093 - LACAS, MARILYN, LCDP 1841425360 - YOUNG, MEDINA 1558309435 - TAYLOR, ELISABETH, MD 1356469456 - SOUTH KINGSTOWN EMERG MED SVC 1245299023 - GOLBERG, JOHN, M.D. 1659338655 - BLACKSTONE VALLEY INTERNAL MED 1174770812 - LEAH ADAMS LEAH ADAMS MD INC 1225016355 - MATARESE, STEPHEN 1558367987 - ALBINA, JORGE, M.D. 1952501942 - XYNELLIS, JASON, P.A. 1851556328 - VAN DINE, TAMMY 1689616682 - MCCONVILLE, DAVID, LP 1003862962 - ROWEY, JOSEPH, O.D. 1043231798 - HOKENESS, STEVEN, M.D. 1154325827 - SCHWENGEL, ROBERT, M.D. 1013178029 - STAFFORD, TODD, M.D. 1881855591 - CHEN, WENDY SHIH-WEN, M.D. 1215919782 - MCLAUGHLIN, SUZANNE, M.D. 1215004445 - FORTUNATO, JESSICA, LP 1104027960 - HUDEPOHL, NEHA, MD 1376785428 - WHITTEN, IRA, M.D. 1205956794 - THE WILLOWS 1699911750 - RUSH, EDWARD 1740241876 - SCHECHTER, STEVEN, M.D. 1285610600 - GARG, MANOJ, D.O. 1871710335 - HOLLAR WILT, LAURA, MD 1922231869 - Child & Family Services 1982859997 - Blackstone Valley Family Therapy 1477575249 - FREITAS, WILLIAM, O.D. 1558407106 - BOCHIECHIO, PAMELA, MD 1194914630 - GIL, LINDA 1275523649 - HAYDA, ROMAN, M.D. 1457396673 - Thompson Resources, LTD. 1730313180 - PIERCE, VIRGINIA 1720238850 - LEPRE PHYSICAL THERAPY OF EAST GREENWICH 1295882223 - COPPOLA, JOYCE, M.D. 1497073712 - FISCHER, JOSHUA, M.D. 1265420442 - BOND, ANDREA, M.D. 1053470476 - SETTIPANE, RUSSELL, M.D. 1417902529 - DELUCA, LAURIE, LCDP 1740440619 - Psychological Wellness Center 1619922192 - KODURI, LALITHA, M.D. 1285611814 - East Bay Center, Inc. 1801893367 - LEONARD, POLLY 1982663415 - BEARSE, CYNTHIA, LMHC 1861713034 - GOTTLIEB, MICHAEL, M.D. 1124356365 - REUTER, MICHAEL AARON, D.P.M 1619079852 - CARRELLAS, ROBERT, M.D. 1831283175 - GILL, PETER, M.D. 1902963457 - MARK BLASBALG Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $19,681 $19,673 $19,644 $19,624 $19,615 $19,606 $19,604 $19,590 $19,583 $19,558 $19,515 $19,513 $19,497 $19,478 $19,460 $19,455 $19,423 $19,398 $19,364 $19,350 $19,331 $19,327 $19,307 $19,304 $19,303 $19,298 $19,293 $19,292 $19,262 $19,260 $19,256 $19,246 $19,215 $19,215 $19,170 $19,156 $19,131 $19,128 $19,117 $19,117 $19,108 $19,073 $19,054 $19,052 $19,029 $19,022 $19,013 $19,012 $19,000 $19,000 $18,996 $18,977 $18,963 $18,936 $18,936 $18,935 $18,920 $18,909 $18,908 $18,902 $18,896 $18,891 $18,887 $18,886 MedicaidManagedCare20160513.xlsx Page 26 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1336169333 - PERRY, ADRIENNE, M.D. 1124034780 - SAMMON, CAROLYN, MD 1225071970 - BRADLEY, LINDA 1831338342 - STEPHEN, ANDREW, M.D. 1922388131 - THAPA, NEELAM 1013175793 - IRVING, ALEXANDRA, LMFT 1124060439 - DIMINO, KENDRA 1134101850 - MORRISSEY, PAUL, M.D. 1134404155 - BEDARD, COURTNEY 1619167905 - PODIATRY SERVICES 1619934718 - MCKAIN, MEGAN, C.N.M 1710058052 - PENSA, EDWARD, M.D. 1639202351 - PARMENTIER, A HILTON, MD 1073864591 - PEDIATRIC ENDOCRINOLOGY OF RI 1427451848 - Carolynn L. Vallot DBA Vallee Associates in Psycho 1114041076 - MARZILLI, ROBERT, LP 1356447080 - BERMON, MAURICE, MD 1093073264 - Emma Pendelton Bradley Hospital (Lifespan) 1154734580 - MUNAWAR AZAM MD 1932200763 - FABIANO, JESSICA, LICSW 1619059425 - REPOSA, PATRICIA, PCNS 1619068780 - VISION CARE ASSOCIATES 1417080524 - CIARNIELLO, DINO, P.T. 1548538473 - KENT CENTER/PCP 1699054056 - YANG, TIA, F.N.P 1619991387 - CHAMPLIN, JOSEPH, PCNS 1922030303 - MARCACCIO, PAUL, M.D. 1265624274 - SUNDERLAND, JENNIFER, C.N.M 1386961548 - SEREDNYAKOVA, TATYANA, D.O. 1912905969 - ROYE, G DEAN, M.D. 1912946658 - KADMON, DAVID, M.D. 1730271461 - MARKS, ROBERT, LMHC 1952342255 - SABINA, WILLIAM, M.D. 1326179268 - FRANCO, ANTHONY 1013145275 - ANDELLOUX, DEREK, M.D. 1790965226 - NEW ENGLAND PULMONARY MEDICINE INC 1578588067 - BELIVEAU, WILLIAM, M.D. 1962489799 - NEWMAN, MARTIN, O.D. 1881753135 - BELLAFIORE, PETER, M.D. 1205826997 - DECESARE, PAUL, O.D. 1558324764 - VOLPE, JOHN, D.P.M 1841307949 - MANCINI, RONALD, LMHC 1285843102 - WALTERS, DENISE, LMHC 1104930841 - BEHMKE, LYN-MARIE, O.D. 1104905397 - TSCHIRLEY, TERRY 1790183069 - RICKERMAN, STEPHANIE, CRNP 1508821364 - PUTHAWALA, MOHAMEDYAKUB, M.D. 1649250069 - BLACKMER, KAREN, M.D. 1801237235 - MAINE, TERESA, N.P. 1568806305 - FRAME N FOCUS 1508991258 - RI THERAPY SERVICES 1750440699 - EDMONSON, DAVID, M.D. 1053499178 - LYONS, EDWARD, PCNS 1962409649 - ETTER, GREGG, MD 1811015886 - TOWN OF WARREN 1821022393 - BAIN, MARISSA, LICSW 1487832549 - United Psychotherapy Associates 1902971559 - LLAMAS, RAMON 1265599393 - TURILLI, NICHOLAS, M.D. 1881796951 - Rhode Island Marriage And Family 1245535160 - CARDILLO, LINDA, LICSW 1255493813 - DENAHAN, KARA 1164461364 - GRAFF, STEVEN, M.D. 1558790709 - AUGER, EMILY, P.A. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $18,877 $18,867 $18,861 $18,843 $18,842 $18,836 $18,804 $18,803 $18,786 $18,785 $18,777 $18,764 $18,762 $18,748 $18,692 $18,689 $18,655 $18,653 $18,607 $18,591 $18,580 $18,573 $18,565 $18,557 $18,553 $18,535 $18,534 $18,516 $18,516 $18,512 $18,511 $18,499 $18,463 $18,462 $18,455 $18,451 $18,422 $18,419 $18,395 $18,391 $18,385 $18,381 $18,377 $18,360 $18,356 $18,337 $18,327 $18,318 $18,313 $18,276 $18,260 $18,254 $18,233 $18,230 $18,222 $18,220 $18,217 $18,184 $18,183 $18,180 $18,180 $18,163 $18,158 $18,141 MedicaidManagedCare20160513.xlsx Page 27 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1770538563 - ZHOU, HUA LINDA, M.D. 1932149887 - GREEN, ANDREW, M.D. 1780720672 - SMITH, DUNCAN, LICSW 1801924170 - GOLOMB, DUANE, M.D. 1437163136 - STEPHENSON, JODI, MD 1487664553 - HART, JUDITH, LMFT 1942287644 - SORGMAN, JAY, M.D. 1538460159 - CHANG, CONSTANCE, N.P. 1114169406 - KLINGE, PETRA, M.D. 1720123250 - KHABBAZ, BASSAM, M.D. 1477536415 - CHANDRAN, RABIN, M.D. 1407119688 - TORTI, STEVEN, P.A. 1396187183 - WHITTREDGE, JEAN, LICSW 1366428120 - BRYAN, RICHARD, M.D. 1770662066 - BATTEY, MICHAEL, D.P.M 1508879610 - CAMBIO, ANGELO, M.D. 1396773792 - ALLARD, MARY, LICSW 1265433908 - GONZALEZ, MICHAEL JB, M.D. 1841518545 - Koch, Hazel, AC 1568420115 - PIZZARELLO JR, PETER, M.D. 1548317092 - CORNERSTONE'S ALZHEIMERS CARE CENTER 1588644629 - AKELMAN, EDWARD, M.D. 1780758458 - PROACTIVE PHYSICAL THERAPY 1164409918 - DONAHUE, JOHN, M.D. 1245281872 - FONTENEAU, ANNETTE, N.P. 1407818404 - BRADY, JOSEPH, M.D. 1508951708 - ROCCHIO, ELIZABETH, M.D. 1124270509 - The Providence Center For Counseling And Psychiatr 1235182783 - WELLCARE INC ATTN ACCOUNTS RECEIVABLE DEPARTMENT 1508837816 - GODLEY, FREDERICK, M.D. 1922280817 - GAGNON, SUSAN, PCNS 1417063603 - CALIKYAN, RAFFI, M.D. 1427457142 - HORVITZ, DEBORAH, CRNP 1467501882 - MINASIAN, DIANE, M.D. 1669440095 - HEIMBECKER, JOYCE, LMHC 1891876835 - VILKER, RONNIE, LP 1477523488 - ASHLEY, DAVID, M.D. 1144372640 - DAVENPORT, SARAH, M.D. 1851668602 - CLARK, KRISTEN, N.P. 1700817962 - Gateway Healthcare, Inc. 1174533137 - MAYER, DAVID 1093026700 - DURAN, ERICK 1083690309 - MESSIER, LAURA, LP 1861613200 - HASSAN-ETTENSOHN MEDICAL SPECIALISTS, LTD 1548315112 - ALTERNATIVE ADULT CARE CENTER 1720278062 - PALIOTTA, MICHELE, LICSW 1497733547 - KHAUND, RAZIB, M.D. 1588789804 - PUGLIESE, JOHN, O.D. 1881616100 - VIEHMANN, LAURA 1013963818 - AUSTIN, JASON, D.O. 1558314757 - ALIOTTA, JASON, M.D. 1528212057 - CORRAO, CANDICE, LICSW 1780963934 - HOPGOOD, JENNIFER 1346408978 - ARAMARK HEALTH SERVICES-WOONSOCKET 1750568374 - SHEMENSKI, AARON, D.P.M 1245345156 - PRATT, JOHNNA, LICSW 1992749436 - CHOUDHRY, SAJID 1548335334 - LOHREY, MARYANNE 1538125414 - KOCH, PAUL, M.D. 1356349302 - ARIF, MOHAMMAD, M.D. 1265604862 - RICHARD P BELHUMEUR OD LTD 1922076736 - DUARTE, KRISTINA, M.D. 1881771186 - THORNTON, LINDA 1013969864 - MONTI JR, E JAMES, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $18,138 $18,130 $18,124 $18,106 $18,062 $18,045 $18,038 $17,988 $17,979 $17,962 $17,955 $17,941 $17,924 $17,922 $17,919 $17,912 $17,880 $17,852 $17,843 $17,832 $17,811 $17,800 $17,794 $17,779 $17,759 $17,750 $17,737 $17,734 $17,727 $17,724 $17,709 $17,708 $17,705 $17,697 $17,680 $17,673 $17,670 $17,660 $17,658 $17,656 $17,655 $17,650 $17,636 $17,634 $17,609 $17,607 $17,590 $17,588 $17,576 $17,572 $17,550 $17,547 $17,536 $17,521 $17,500 $17,499 $17,477 $17,454 $17,447 $17,434 $17,415 $17,380 $17,365 $17,356 MedicaidManagedCare20160513.xlsx Page 28 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1720008782 - ROBINSON, ANNA, LMHC 1831183904 - RODERICK, PAUL, M.D. 1336297639 - ROSSI, PETER 1255379020 - FULLERTON, ERICA, C.N.M 1801969126 - THOMAS L GREEN DO LTD 1285661025 - CROCE, STEVEN, O.D. 1255345849 - GUTHRIE, TRACEY, MD 1134553167 - BOBEK, ALEXIS 1114034360 - BENNETT, INGRID 1184621138 - SUPERCZYNSKI, CHRISTOPHER, M.D. 1609272376 - TODER RHEUMATOLOGY & OSTEOPOROSIS CENTER 1487716205 - CARDIOLOGY SPECIALIST LTD 1396701249 - NUDELMAN, JUDITH, M.D. 1265489306 - OLSSON, LEIF ERIC, M.D. 1972824522 - BENOFF, TALYA, MD 1427055987 - PAOLELLA, LANDY 1790970408 - VREES, ROXANNE, M.D. 1265501340 - MIELE, JOHN, D.P.M 1750339750 - East Bay Community Action 1306934369 - JABLOW, BARBARA, M.D. 1104149616 - FITZGERALD MCCALLUM, ELLEN, LICSW 1144241613 - ABBOTT, JINNETTE, M.D. 1922064534 - MACHATA, JOHN, M.D. 1780606533 - TETREAULT, CECILE, LICSW 1134113749 - WILSON, JEFFREY, M.D. 1871895110 - DONTHAMSETTI, VIKRANT, D.O. 1083876296 - RAMIREZ, MICHELLE LEA, D.O. 1699824748 - HOUSTON, DIANE, LICSW 1669647012 - SAN ANTONIO, RICHARD, M.D. 1497793285 - BRAUN, MARK 1336132935 - GRANTON, GWYNETH, M.D. 1821250499 - BUCKBEE CAREY, EMILY 1023055241 - FRIEDMAN, JENNIFER 1982918819 - COTTER, DAVID, LP 1801854054 - PEDVIS-LEFTICK, ANITA, M.D. 1225313158 - KOZLIK, JEFFREY 1477511236 - SALISBURY, MATTHEW, M.D. 1255368783 - HEALY, ELLEN, LMHC 1902810369 - RICKLER, KENNETH 1295710879 - TRYFOROS, MARGARET, M.D. 1679579338 - MASON, WILLIAM, M.D. 1164658027 - SOLBERG, MONISSA, MD 1831106202 - FERRY, MARGARET, LMFT 1982658431 - DENNEHY, PENELOPE, M.D. 1245311299 - MAYO, SALLY, LP 1881907673 - HUSSAIN, NAUSHEEN 1174567150 - DONAHUE, PATRICIA, LMHC 1740237080 - NEWBURY, KIMBERLY, LICSW 1821376286 - LEGEND, RACHEL, M.S. 1659645588 - BEYOND BASICS REHABILITATION 1134342298 - BABB, KIMBERLY 1568554376 - HILL, KRISTYN 1881820587 - RAZA, FATIMA 1073619391 - SEDIVA, IVONA 1689750044 - VEGA, LUCILLE, M.D. 1679572838 - YAKAVONIS, VINCENT, M.D. 1588833941 - KELLEY, LORI, C.N.M 1154648343 - ORELLANA, WALTER, LICSW 1477749059 - GEORGE N COOPER, JR MD LTD 1629100920 - POLLAK, EDGAR, M.D. 1548294291 - TABADDOR, RAMIN, M.D. 1689692592 - STOCKWELL, PHILIP, M.D. 1043393176 - BURKHART, HOLLIS, LMHC 1700287638 - FAMILY BEHAVIOR SOLU TIONS, INC Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $17,343 $17,323 $17,313 $17,290 $17,282 $17,274 $17,271 $17,266 $17,261 $17,248 $17,228 $17,228 $17,218 $17,214 $17,207 $17,186 $17,177 $17,162 $17,160 $17,135 $17,132 $17,126 $17,118 $17,115 $17,090 $17,078 $17,074 $17,060 $17,049 $17,038 $17,036 $17,028 $17,025 $17,010 $17,004 $16,979 $16,945 $16,918 $16,906 $16,900 $16,900 $16,894 $16,890 $16,889 $16,885 $16,871 $16,860 $16,855 $16,853 $16,848 $16,839 $16,833 $16,826 $16,795 $16,776 $16,767 $16,764 $16,754 $16,749 $16,714 $16,700 $16,691 $16,657 $16,642 MedicaidManagedCare20160513.xlsx Page 29 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1295719029 - ROBITAILLE, MARCIA, D.O. 1215988175 - DIEHL, STEVEN, LP 1407905607 - DEL RIO, KATHLEEN 1174785786 - PARK, TAE, MD 1184980211 - MCNICOL, MARCI, PCNS 1356577753 - STRAVATO, CHRISTOPHER, LMHC 1750365896 - CESANA, ALICE, LMFT 1790986958 - SURGICARE INC 1376528794 - MARTIN, CARLA, M.D. 1205881620 - AL-BILBEISI, FADI, M.D. 1215012232 - ZUCCONI, FRED, LICSW 1235197278 - CALDAMONE, ANTHONY, M.D. 1073675856 - HILL III, ROBERT, O.D. 1619922085 - TOLL, ELIZABETH, M.D. 1447219811 - STRATTON, GUS, M.D. 1770683013 - WALKER, WILLIAM SCOTT, M.D. 1346312717 - FALKENBERRY, STEPHEN 1023092889 - ATTIULLAH, NAUREEN, MD 1114075793 - ALBRO, ELIZABETH 1922083153 - HARRINGTON, COLIN, MD 1265440598 - CARCIERI, DAVID, M.D. 1609838697 - LANCELLOTTI, GUY, M.D. 1952651895 - Children In Balance Psychological Associates, Inc. 1053443978 - QUINN, DONN, M.D. 1629110382 - MURPHY, MELISSA, M.D. 1861720625 - MONROE, HEIDI 1316933922 - POGACAR, SRECKO, M.D. 1104959832 - DECESARE, JOSEPH, D.P.M 1386955540 - CHOCK, YU PEI, M.D. 1316381205 - HEYS, DESIRAE, N.P. 1023236494 - SULLIVAN, RACHEL 1508883596 - JURCZAK, ANNMARIE, M.D. 1972572998 - DR DAVID W FERRIS AND ASSOCIATES INC 1558486068 - BELLO, RICHARD 1558428540 - CAMBIO, JOSEPH ANTHONY, D.O. 1831372580 - THOMPSON, DANIEL 1053323691 - FAHEEM, WAJAHAT, MD 1366439895 - GAINES, BARBARA, M.D. 1154322568 - Family Service of Rhode Island, Inc. 1144287244 - STEIN, NANCY 1033360516 - YINGLING, TREVOR, LMHC 1972551489 - CULLION, DIAN, P.A. 1528007432 - BARRATT, PAUL, M.D. 1790075398 - RACHEL A BABOIAN DBA HEAR FOR YOU HEARING & BALANC 1598762551 - MEDEIROS, GRACE, M.D. 1104927441 - MILAM, AARON, D.P.M 1033125356 - SHEA, LISA, MD 1255326997 - BELLUCCI, MICHAEL, O.D. 1912955188 - RANDALL, REBECCA, M.D. 1538458328 - Skills in Motion LLC 1881754281 - KHURSHID, SHAHZAD, M.D. 1750328290 - DEL RIO CADORETTE, MARIEL, M.D. 1346218989 - GRAVES, PETER, M.D. 1154443976 - GEREMIA, JENNIFER, P.A. 1639431646 - HOWELL, MARISA, M.D. 1063469518 - ZINCK, DEBORAH, M.D. 1700910031 - ORTELL, ERICA 1942237847 - COGHLIN, DANIEL, M.D. 1972589745 - HOFMANN, R JEFFREY, M.D. 1801896378 - MICHAUD, PIERRE 1558462234 - DAVID A CARCIERI MD INC 1639175482 - DORRIS, HEIDI, M.D. 1386864395 - BAKER, FAY 1992758841 - SAPERS, SUFALA, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $16,611 $16,606 $16,591 $16,576 $16,576 $16,573 $16,571 $16,563 $16,556 $16,554 $16,552 $16,537 $16,536 $16,535 $16,532 $16,528 $16,528 $16,522 $16,521 $16,508 $16,506 $16,505 $16,500 $16,494 $16,484 $16,447 $16,437 $16,433 $16,425 $16,424 $16,417 $16,414 $16,413 $16,406 $16,399 $16,394 $16,358 $16,355 $16,322 $16,311 $16,290 $16,285 $16,284 $16,275 $16,264 $16,261 $16,258 $16,237 $16,228 $16,225 $16,206 $16,204 $16,190 $16,170 $16,167 $16,149 $16,118 $16,096 $16,095 $16,081 $16,067 $16,063 $16,062 $16,060 MedicaidManagedCare20160513.xlsx Page 30 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1700015351 - PARKER, DAVID, LICSW 1477731214 - Anchor Counseling Center Inc 1689668709 - ALLEN, THOMAS, LICSW 1225055759 - KILEY, BRIAN, O.D. 1568461549 - BELL, THOMAS, R.P.T 1023092806 - NOTHNAGLE, MELISSA, M.D. 1720237167 - MAS HOME CARE OF RHODE ISLAND 1518954098 - LANGE, ELIZABETH, M.D. 1689628653 - MCEACHERN, REBECCA 1427296300 - DONALDSON, ABIGAIL, M.D. 1538250337 - FELDMAN, JEFFREY, M.D. 1700991932 - 20/20 VISION CARE INC 1710141478 - LLADO, ROALD, M.D. 1063607752 - OCEAN ORTHOPEDIC SERVICE INC 1811084403 - WRIGHT, PHILLIP 1346368230 - ESPINOSA, LAURIE, LICSW 1003192444 - THATCHER, DAVID 1184791857 - PASQUARIELLO, GENNARO, M.D. 1639108509 - GRIFFITH, FRED 1316032063 - DURFEY, NICOLE, M.D. 1174771828 - Skills in Motion LLC 1912168352 - ALEXANDROU, ELEFTHERIOS, M.D. 1528020765 - AL-RAQQAD, AHMAD, M.D. 1255386868 - HARRY IANNOTTI, MD PROVIDENCE UROLOGY LLC 1407859515 - RIGHT CHOICE PHYSICAL THERAPY INC 1649371741 - PINE, GINA, LICSW 1144267394 - HAYDEN, DEBORAH, M.D. 1225029770 - CONCORD HEALTH SERVICES 1356789788 - BERGEN, MARY CLARE, N.P. 1578582656 - BLADE MELLO, MICHELLE, C.N.M 1932164589 - ASIEDU, DANIEL, M.D. 1609033190 - BICA, DAVID, D.O. 1003839234 - HAMPTON, BRITTANY, M.D. 1558394833 - MEHTA, NIHARIKA, M.D. 1134268287 - NOWAK, ANDREW, M.D. 1366881534 - JOHNSTONE, ANDREA, LP 1790903565 - GOMES, MARGARET, LICSW 1457503641 - WALSH HEBEL, ERIN, CRNP 1497706857 - DASILVA, MANUEL, M.D. 1023007556 - GREENSPAN, NEIL 1275546277 - THEROUX, BRIAN, P.A. 1215125851 - LEVINE, TODD, MD 1255537478 - MARZAN, HAZEL, M.D. 1952679177 - MACLEOD, SAGE, C.N.M 1326070863 - POP-VICAS, AURORA, M.D. 1598796922 - HELD, MARILYN, PCNS 1043326978 - GUL, AMBER, M.D. 1124079090 - CRISAFI JR, BARTEL, M.D. 1710935051 - MAHONEY, CYNTHIA, PCNS 1255412557 - MICHELE R PALAZZOLO OD - BALD HILL 1316006950 - O'NEILL, MARGARET, R.D. 1447317730 - D'ALESSANDRO, FRANK, M.D. 1689670044 - ALTENHEIN, ELIZABETH, M.D. 1336158344 - SANTA TERESA, MARYGENE, MD 1427024108 - ROBBIO, ROBERT, M.D. 1215126511 - COCKERLINE, ELIZABETH 1023038791 - BERT, JOHN, M.D. 1942514039 - MAYHALL, ELIZABETH, M.D. 1093019341 - ERINAKES, CHRISTINA, C.N.M 1609885060 - REUSS, DONALD, LCDP 1558599464 - ZALUSKI, KATE, M.D. 1447364559 - KLEIN, FARREL, MD 1487896429 - LOGAN, KATIE, LMHC 1508814062 - HULSTYN, MICHAEL, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $16,024 $15,989 $15,988 $15,982 $15,982 $15,979 $15,978 $15,972 $15,965 $15,949 $15,939 $15,924 $15,912 $15,911 $15,884 $15,883 $15,863 $15,855 $15,829 $15,809 $15,795 $15,788 $15,782 $15,777 $15,776 $15,745 $15,701 $15,693 $15,688 $15,687 $15,669 $15,657 $15,650 $15,643 $15,632 $15,617 $15,593 $15,590 $15,582 $15,577 $15,576 $15,553 $15,535 $15,525 $15,508 $15,497 $15,489 $15,487 $15,487 $15,476 $15,463 $15,450 $15,445 $15,444 $15,441 $15,440 $15,428 $15,412 $15,409 $15,398 $15,376 $15,364 $15,354 $15,348 MedicaidManagedCare20160513.xlsx Page 31 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1952560872 - Lisa M. Rocchio, PhD & Associates, Inc. 1336265800 - EVOLUTION NUTRITION, INC. - BRISTOL 1801978622 - GALLO, JAMES, MD 1033150701 - KELLEY, NEAL, M.D. 1740429430 - CAMACHO, MARGARET, LP 1053471763 - KUECKS MORGAN, REGINA, LP 1699772467 - ENGLAND, JOSEPH, M.D. 1619924651 - HABR, FADLALLAH, M.D. 1699775486 - KOZEL, RANDY, M.D. 1275570921 - WEN, JIAYING, M.D. 1649284241 - OSBORNE, MARY, LCDS 1811097439 - VON VILLAS, ERICA, LICSW 1639402340 - PAI, VIDYA, M.D. 1124181243 - PENDERGAST, MICHAEL, LICSW 1508847377 - ANTHONY, DAVID, M.D. 1578781316 - BHATT, REENA, M.D. 1306833868 - SANTOS, STEVEN, O.D. 1760547582 - Child, Inc. 1679611842 - MODHA, POONAM, MD 1548473796 - Cordis Counseling 1114234796 - JACKSON, NICHOLAS, LMHC 1407974504 - NORTH SMITHFIELD FIRE & RESCUE 1720074073 - ERFE, ALBERTO 1619923414 - LADD, JON 1144368309 - GATES, ERIN, MD 1821216961 - EUELL, MARY JANE 1043502214 - ME Psychotherapy, LLC 1568567790 - MIRIAM ONCOLOGY CLINIC 1821307885 - ALLGAIR, AMY, LP 1346224953 - KEITNER, GABOR, MD 1295801900 - GIBBES, BERTRAM, LP 1922204668 - KENT PULMONARY ASTHMA & SLEED MED 1669507133 - UNIVERSITY INTERNAL MEDICINE 1912005901 - THOMAS, VALERIE, M.D. 1619288578 - CANARIO, COURTNEY 1639207319 - GARDEN CITY NEUROLOGY 1972557601 - TEREK, RICHARD, M.D. 1962554717 - CABLE, ROBERT, LP 1447477328 - PLANTE, MATTHEW JOSEPH, M.D. 1316924897 - NASSERI, AFSHIN, M.D. 1306065081 - PAESANO, ERIC, LICSW 1154372175 - BOURGUIGNON, PAUL, M.D. 1134295280 - CONTILLO, ELISSA, O.D. 1184855397 - BATURA, HOLLY, LICSW 1457477945 - SAKONNET PHYSICAL THERAPY 1497945489 - Northern Rhode Island Community Mental Health Cent 1427052703 - DOERR, JOSEPH, M.D. 1174579643 - CRAWFORD, KIM, M.D. 1053399105 - DAPAAH-AFRIYIE, KWAME, M.D. 1528487683 - COASTAL DERM & COSMETIC CENTER 1841470051 - SEACOAST THORACIC & CARDIOVASCULAR SURGERY INC 1265608905 - BOUTIN GAMMON, ANNE, LMHC 1447400890 - VACHON, JASON, M.D. 1053320846 - TANSKI GREGG, TERESE, LICSW 1649309030 - BURKART, MICHAEL, LP 1194716829 - EL-KHATIB, MAHER, M.D. 1659540490 - MATHEWS, CARA, M.D. 1013065366 - KIRDZIK, MELISSA 1316900707 - GLENN, PATRICK, P.T. 1821352527 - AHERN, DAVID, LP 1760477962 - EMGUSHOV, RINCHEN-TZO, M.D. 1154382562 - SPERBER, KENNETH, M.D. 1063634194 - GILLEN JR, JAMES, LCDP 1053530782 - THAVASEELAN, SIMONE, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $15,342 $15,333 $15,327 $15,323 $15,321 $15,303 $15,298 $15,280 $15,275 $15,242 $15,219 $15,211 $15,187 $15,183 $15,178 $15,156 $15,149 $15,144 $15,129 $15,119 $15,111 $15,093 $15,077 $15,070 $15,065 $15,061 $15,056 $15,052 $15,048 $15,046 $15,043 $15,033 $15,033 $15,030 $15,030 $15,023 $14,996 $14,993 $14,979 $14,976 $14,966 $14,965 $14,953 $14,947 $14,932 $14,930 $14,901 $14,900 $14,896 $14,889 $14,884 $14,878 $14,868 $14,864 $14,855 $14,840 $14,833 $14,833 $14,828 $14,811 $14,804 $14,798 $14,798 $14,780 MedicaidManagedCare20160513.xlsx Page 32 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1578899621 - CUESTA, CARI 1285606418 - MARANZANO, ELIZABETH, M.D. 1518932565 - CURIOSO, WILFREDO, M.D. 1720482193 - BLACKSTONE VALLEY FOOT AND ANKLE, INC. 1538158068 - COHEN, EVAN, M.D. 1033116025 - LABOVE, NEIL, M.D. 1124326699 - ROSENGARD, CYNTHIA 1457395998 - Roger Williams Medical Center 1457358442 - IBRAHIM, FARHAT, M.D. 1346327558 - Leinhaas & Lienhaas 1053689992 - HAMED, AHMED, M.D. 1154403970 - MADRAS, KAREN, M.D. 1700825908 - BLAZAR, STEVEN, M.D. 1568634004 - MOTEN, DAWN, M.D. 1750301743 - PEPI, MICHAEL, M.D. 1528065745 - DEROLF, DONALD, M.D. 1043343429 - MEHTA, ANJALI 1215992870 - BOURASSA, DAVID, M.D. 1285613448 - VACCARO, CARLA, M.D. 1073604757 - MCKINNON, ALLAN 1033122098 - REILLY, PETER, N.P. 1740369990 - BOOROM, PAUL, LMHC 1568773166 - SHEPHERD, RACHEL, M.D. 1215151329 - TOBA, CRISTINA, MD 1023182383 - CANTON, J CARLOS, M.D. 1982821484 - BLUNDIN, MICHAEL, M.D. 1326148297 - FISH, CLYDE, D.P.M 1619288057 - PERLI, DANIEL, M.D. 1740227198 - UPDEGROVE, RANDALL 1033402003 - OLIVEIRA RD, JASON 1467600825 - RIVERS, CARLY, LICSW 1023313202 - MORROW, KATHRYN 1851349724 - SCHWARTZ, SARA, P.T. 1043358187 - WASHINGTON CNTY PHYSICAL THERAPY 1548297658 - CROMWELL, HOLLY HELEN, M.D. 1104811181 - MUIR, BARBARA, P.A. 1730414640 - SLADE, WILLIAM, D.O. 1003873134 - RAJABIUN, M TAGHI, M.D. 1972531937 - KESWICK, LISA, M.D. 1992725790 - CESARIO, CARLA, M.D. 1801912464 - FAVA, MICHELE 1174564983 - IQBAL, ARSHAD, M.D. 1568400653 - CUNNIFF, KRISTINE 1003985698 - REIDY, CHRISTOPHER, LICSW 1275795726 - HERZLINGER, MICHAEL, M.D. 1871724740 - MALLETTE, JASON, D.P.M 1487717708 - CRANSTON EYE ASSOCIATES INC 1790914158 - VIVAS OROZCO, FELIPE, M.D. 1902954241 - HOCHMAN, LAURA, LICSW 1710098249 - SANTORO, RALPH, M.D. 1629368675 - STEPHANIE, LAURIN 1376654350 - PAREEK, GYAN, M.D. 1134275571 - ALCUSKY, DEBRA 1356556294 - MULLERVY, AMY, LICSW 1568500411 - PHAM, LESLIE, M.D. 1720183304 - LEE, LAWRENCE, M.D. 1043236656 - TRU CARE PHYSICAL THERAPY INC 1073621173 - LEPRE PT OF BARRINGTON LLC 1154319440 - DELEO, JULIE, M.D. 1093721805 - CERMIK, OMER, MD 1730447418 - IOVANEL, MIHAELA, M.D. 1225081508 - KELLEY, MELISSA, LMHC 1194970673 - GREENE, WILLIAM, LCDP 1942230990 - FOSTER, AMERICA Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $14,774 $14,753 $14,747 $14,726 $14,708 $14,691 $14,689 $14,686 $14,684 $14,676 $14,664 $14,647 $14,646 $14,634 $14,614 $14,600 $14,600 $14,588 $14,573 $14,567 $14,563 $14,551 $14,548 $14,543 $14,538 $14,501 $14,494 $14,493 $14,482 $14,473 $14,468 $14,443 $14,435 $14,428 $14,423 $14,411 $14,411 $14,404 $14,394 $14,392 $14,388 $14,385 $14,382 $14,382 $14,371 $14,371 $14,324 $14,322 $14,312 $14,311 $14,307 $14,303 $14,300 $14,288 $14,265 $14,235 $14,227 $14,221 $14,216 $14,214 $14,208 $14,207 $14,189 $14,152 MedicaidManagedCare20160513.xlsx Page 33 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1912215161 - ZANELLA, LESLIE, LICSW 1093712853 - ALVES, CYNTHIA, M.D. 1629032743 - IRELAND, JANE, O.D. 1790817823 - JENSEN, CAROL 1558300814 - DUSHAY, KEVIN, M.D. 1124229745 - DORAN, DEBORAH, LICSW 1992970248 - GELORMINI, NICHOLAS 1912962440 - PERA, VINCENT, M.D. 1497884530 - BEGIN, ANN, LP 1770560435 - OYELESE, ADETOKUNBO, M.D. 1144335357 - IACONO, NANCY, O.D. 1407887706 - LAFONTAINE, DONNA, M.D. 1508949629 - CALOURO, MOSES, LCDP 1043496359 - EAST SIDE SURGICAL GROUP INC 1568561710 - BECK, ROBERT 1285785220 - FABER, CHARLES, D.O. 1023307162 - MALEK, MATTHEW, M.D. 1124179544 - KRAEGER, JAMES 1356326854 - GOULET, ROSE, LICSW 1528003712 - Butler Hospital (Care New England) 1205852035 - QUINN, SHEILA, N.P. 1205822277 - KLUFAS, MICHAEL, M.D. 1053578476 - DOMINGO, EMILISSA, D.O. 1144459314 - FABRE, MARIA VALERIA, M.D. 1366469124 - Family Health Services - Coventry 1033202908 - SALVO, SAM ANDREW, P.T. 1962485490 - ZIPIN, STEVEN, M.D. 1710258819 - REYNA, ADRIANA, P.A. 1922362011 - RILEY, PAMELA, LICSW 1245389576 - HAMILTON, TERESITA 1730454877 - HOLLIMAN, SHERI 1851382964 - MCCAULEY, THOMAS 1003954835 - GARCIA, MARY, LICSW 1225065139 - GASS, JENNIFER, M.D. 1871778936 - SALAK, JESSICA, M.D. 1376519637 - AINLEY, JEFFREY, O.D. 1558453654 - COPPE, DAVID 1336459759 - SUSAN B POLLAN MD DBA PAIN MANAGEMENT CENTER OF AT 1720076011 - AMBRAD, JAMIEL 1295785251 - SPELLUN, JOEL, M.D. 1578857611 - DAWSON, LAURA, M.D. 1043260805 - MINUTECLINIC DIAG OF RHODE ISLAND LLC 1801826326 - NICASTRI, GUY, M.D. 1225025513 - PALAZZOLO, MICHELE, O.D. 1831381573 - PODIATRY SPECIALISTS OF RI INC 1467514232 - SANTOS, DAVID, O.D. 1255614392 - DINGLEY, ERIK, O.D. 1730238056 - PARENTE, MICHAEL 1063628717 - BOBOLA, DONALD, PCNS 1881658896 - MARCHAND, ROBERT, M.D. 1649492349 - COVENTRY FIRE DISTRICT 1316981988 - MARTIN, DOUGLAS, M.D. 1770585531 - DYSON, DUANE, M.D. 1275866477 - GRETCHEN STALTERS RD NUTRITION CONSULTING 1760792923 - KIDD, NICOLE, LMHC 1609997295 - BISSONNETTE, ROSE, LICSW 1407943814 - MITCHELL, CRISTINA 1407860604 - FEMINO, JOHN, MD 1790724466 - FELDMAN, MICHAEL, M.D. 1083943310 - WILDER, HEATHER, P.S.Y 1801975545 - GREENBERG, DAVID, D.P.M 1811994106 - MARTINEZ, HOWARD 1659501377 - MURPHY, EMILY, MD 1619921129 - CHAWLA, ANJULIKA, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $14,150 $14,147 $14,139 $14,129 $14,107 $14,091 $14,084 $14,081 $14,072 $14,063 $14,031 $14,019 $14,016 $14,003 $14,002 $13,972 $13,971 $13,962 $13,961 $13,939 $13,922 $13,920 $13,905 $13,882 $13,849 $13,846 $13,793 $13,789 $13,777 $13,753 $13,715 $13,714 $13,711 $13,707 $13,699 $13,694 $13,689 $13,674 $13,663 $13,649 $13,648 $13,648 $13,644 $13,631 $13,631 $13,627 $13,616 $13,608 $13,606 $13,601 $13,599 $13,589 $13,589 $13,578 $13,560 $13,543 $13,537 $13,529 $13,517 $13,516 $13,515 $13,508 $13,497 $13,494 MedicaidManagedCare20160513.xlsx Page 34 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1801857255 - KICA, GERALDINA, M.D. 1942306675 - GORDON, CLIFFORD, LP 1376561282 - WEIGNER, MARILYN, M.D. 1932105780 - GRUMBACH, NICHOLAS, M.D. 1770781478 - PARTNERS IN PRIMARY CARE INC 1205077146 - WAQAR, SADAF, D.O. 1417258484 - FIDALGO, JESSICA, LMHC 1467593806 - LEVINSON, ANDREW, M.D. 1427021286 - DRESLIN, JOHN 1871559500 - CAVICCHIO, CHARLES 1700049160 - SALKO, PHILIP, M.D. 1114198710 - CHOQUETTE, MICHELLE, O.T.R 1073708939 - MANJUNATH, NAYANA, M.D. 1275515116 - DIAZ, ELIZABETH, C.N.M 1689696429 - TURCHETTA, LOUIS, LP 1972529832 - POMERANTZ, DAVID, M.D. 1609079532 - BATTERSBY, AMY, LMHC 1477580553 - MILLER, ROBERT 1427246412 - DR. RORY OEFINGER 1215074208 - ARRUDA TRACY, STACEY, LICSW 1942212790 - BIRNBAUM, ARIEL, M.D. 1679622989 - AMECK, PETER, N.P. 1174528699 - CATALLOZZI, VINCENT, M.D. 1669486098 - Butler Hospital (Care New England) 1578521183 - COHEN, STEVEN IRVIN, M.D. 1922002740 - MERINGOLO, ROBERT, M.D. 1285652941 - BUCK HERDRICH, SARAH, CRNP 1043260268 - KENNEDY, CATHY, PCNS 1104907625 - KHAN, SHAHID, M.D. 1477561348 - CANCRO, CAROL, M.D. 1417021940 - O'BRIEN, MICHAEL, M.D. 1467553883 - KRUSZ, STEPHANIE, M.D. 1730257957 - IFTIKHAR, SADIA, M.D. 1083932701 - CASSIDY-DEVITO, KATHARINE, C.N.M 1679634216 - DEPENDABLE HEALTHCARE SERVICES LLC 1376534347 - SNOW, ELIZABETH 1013129220 - Medop Behavioral Health Associates of Rhode Island 1750678082 - SIEGERT, NICOLE, M.D. 1841226867 - JOHNSON, GARY, M.D. 1124059696 - PRESSMAN, AMANDA, M.D. 1649472895 - COOLIDGE, KATHRYN ELIZABETH, M.D. 1366544421 - SEIDLER, SUSAN, N.P. 1477621605 - ROG, DENNIS 1043209398 - SHAH, SAMIR, M.D. 1467459941 - PARAMESWARAN, JAYANTHI, M.D. 1568606960 - CRISTESCU, GEORGE, M.D. 1790074441 - CREEGAN, AMY, LMFT 1033370028 - CHAO, STEVEN, M.D. 1912241811 - KM Counseling and Consulting Services Inc 1942257449 - NEMCHENOK, LINA 1306884689 - LARKIN, JEROME, M.D. 1962550483 - CARPENTER, GAIL, LICSW 1487625083 - DUPLESSIS, DENISE, PCNS 1841507589 - MURRAY, CANDACE, LMHC 1386628154 - BOERESCU, DANIELA, MD 1023052537 - SHAH, NISH EDMOND, M.D. 1417926890 - SOMVANSHI, NICOLE, M.D. 1336248442 - CERBO, VIRGINIA 1710950142 - RIZZUTO, PHILIP, M.D. 1932455946 - SALAS SANCHEZ, WILLY 1285862433 - TOMPKINS, ANDREW 1841510633 - PRATT MEDICAL GROUP INC 1740236488 - VAKHARIA, JAMSHEED, M.D. 1558479261 - OLSON, TIMOTHY, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $13,486 $13,481 $13,474 $13,459 $13,445 $13,440 $13,433 $13,433 $13,429 $13,411 $13,407 $13,400 $13,395 $13,381 $13,375 $13,364 $13,350 $13,345 $13,333 $13,332 $13,327 $13,327 $13,310 $13,299 $13,297 $13,271 $13,271 $13,262 $13,237 $13,236 $13,223 $13,221 $13,217 $13,216 $13,199 $13,197 $13,188 $13,186 $13,149 $13,129 $13,126 $13,125 $13,116 $13,102 $13,100 $13,086 $13,084 $13,076 $13,075 $13,075 $13,065 $13,043 $13,036 $13,024 $12,989 $12,974 $12,965 $12,954 $12,946 $12,935 $12,933 $12,932 $12,929 $12,923 MedicaidManagedCare20160513.xlsx Page 35 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1790766517 - DIORIO JR, JOHN, M.D. 1235440199 - Jewish Family Service 1871609362 - RAMEAKA, LISA, M.D. 1457345159 - SMITH, MATTHEW, M.D. 1508094590 - BUTTARO, MELISSA, LP 1245387851 - OLSON, MICHELLE, P.S.Y 1548214299 - DOYLE, ANDREA, M.D. 1902823909 - BROWN, SARA, N.P. 1326077892 - MURPHY IV, JOHN, M.D. 1134103260 - ANDREWS, ROBERT 1184601932 - WINCZE, JEFFREY, LP 1962730796 - ANDRADE, ANNA, LMHC 1689627341 - HALL, DENA, O.D. 1326201641 - GADHAVI, PRAHLAD, M.D. 1518973148 - FITZHUGH, WALTER, MD 1710058656 - KATZ, EMILY, MD 1134287006 - FURMAN, RONALD, O.D. 1619971314 - ABADI, CHRISTOPHER, M.D. 1063433530 - ABBOTT, BRIAN, M.D. 1417910555 - AYVAZYAN, HERMAN, M.D. 1780797860 - NOYES DUGUAY, LISA, M.D. 1730395369 - JACKSON, DEBORAH, LICSW 1124077300 - KARANTH, SRIPATHI, M.D. 1942324413 - ALBECK, CAROL 1477856490 - OSHEA, MAUREEN, LMHC 1245369537 - SCOLPINO, LYNNETTE, C.N.M 1356363592 - HUNTER, LINDA 1245516731 - MILLS, MARY ALICE, LP 1417029851 - Psychotherapy Services Of R.I., Inc. 1346245305 - CAMBIO, JOSEPH, M.D. 1114135357 - STANFORD, DAVID 1588996763 - HAUG, DEBORAH, LMHC 1609850411 - POLANCO, JOSE, M.D. 1205015989 - GORMAN, CATHERINE, LMHC 1053651562 - FOLEY, JENNA ELIZABETH, N.P. 1518283985 - STEVE MIGNACCA PT 1790859619 - DAPONTE, JOHN, LMHC 1669589701 - GRAY, ROBYN, D.O. 1518298918 - DEYHIMPANAH, BABAK, M.D. 1679798482 - ZABBO, CHRISTOPHER, D.O. 1346478534 - BRUMBAUGH, MATTHEW, M.D. 1760578132 - IACOBUCCI, RICHARD 1083889729 - PFEIFFER, CHRISTINE MARY, C.N.M 1457481509 - ZANGARI, KAREN, R.D. 1285830323 - THAKURIA, PRANJAL, M.D. 1265438923 - SIEDLECKI, DIANE, M.D. 1144500356 - TAVARES, LAURA, N.P. 1306135595 - GURFEIN, SUSAN, LMHC 1982817383 - PASCOAG FIRE DISTRICT 1912965526 - Gateway Healthcare, Inc. 1649511841 - MINUTECLINIC WOONSOCKET 1659547271 - ACIDERA, ANNA, M.D. 1699864389 - HART, DENNIS, D.P.M 1679603617 - COWASJI, SHIAVAX, M.D. 1780723445 - NADEAU, JENNIFER, MD 1265486526 - SACCUCCI, MICHAEL, O.D. 1093947756 - GOODMAN, LINDSAY, M.D. 1558354407 - VIDERS, DANIEL, M.D. 1538213483 - SAKR, BACHIR, M.D. 1063580355 - Continuum Behavioral Health / Benjamin Lederer MD 1811088388 - KUTCHER II, THEODORE JOHN, M.D. 1659360618 - O'NEIL, ROBERT 1841338886 - CAYER, THOMAS, LICSW 1225054760 - DEYOUNG, PAULA, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $12,923 $12,910 $12,908 $12,893 $12,886 $12,885 $12,877 $12,862 $12,858 $12,854 $12,853 $12,844 $12,839 $12,830 $12,821 $12,817 $12,809 $12,808 $12,806 $12,793 $12,792 $12,782 $12,779 $12,775 $12,766 $12,755 $12,753 $12,752 $12,734 $12,729 $12,728 $12,726 $12,715 $12,715 $12,701 $12,699 $12,696 $12,691 $12,689 $12,675 $12,672 $12,664 $12,662 $12,638 $12,632 $12,629 $12,619 $12,592 $12,587 $12,581 $12,572 $12,562 $12,557 $12,555 $12,549 $12,547 $12,539 $12,538 $12,525 $12,510 $12,495 $12,493 $12,491 $12,487 MedicaidManagedCare20160513.xlsx Page 36 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1194057968 - LEANDRE, KIMBERLY, LMHC 1134454556 - CODAC, Inc. 1306103262 - LEVESQUE, SHARI, N.P. 1497769467 - WOLFGANG, LIZBETH, LP 1720149768 - COVENTRY PT & SPORTS MED INC 1437476124 - FOLEY, NANCY 1144496720 - KING, DIANE, MD 1437106382 - OFSTEAD, LAURA, M.D. 1073612156 - FIGUEROA, FRANCIS 1780641084 - TUCCI, JOSEPH, M.D. 1952306185 - SKLAR, MITCHEL, M.D. 1992780449 - FAIRHURST, BEVERLY, LMHC 1427245471 - HODLER, GWYNNE 1164581617 - GAGLIARDI, HEATHER, R.D. 1033385828 - CARTER, REBECCA, LMHC 1275563405 - INGLE, DAVID, LP 1275751794 - FRAGALE, CHRISTOPHER, LICSW 1740470566 - SAMPALIS, MARIA 1114900024 - FORT, GLENN 1033237615 - Continuum Behavioral Health / Benjamin Lederer MD 1801917158 - MANKO, G JAMES, LICSW 1831280544 - Inpatient Medical Associates of Providence LLC 1285722231 - KENNEDY, CHRISTINE, M.D. 1245236918 - RAIMONDO, THOMAS, D.O. 1831359975 - WHIPPLE, DIANE, LP 1770878134 - HANSEL, MARLA, M.D. 1316268741 - DENIS E MOONAN MD 1811179906 - NICHOLAS D IANNUCCILLI, MD 1598720187 - ETTING, MARISA, LMHC 1629076351 - SALIBA, GISELE, M.D. 1386688877 - PECK, COURTNEY, P.A. 1598957896 - BUSCH, RACHEL 1093731333 - LEGARE, ROBERT, M.D. 1598723124 - SCHIFF, STEPHEN, M.D. 1700819273 - LONCAR, CYNTHIA, LP 1558306951 - FEISTHAMEL, ELIZABETH, LICSW 1700830635 - CANTOR, ELIZABETH, LP 1679693493 - BASS, VIRGINIA, M.D. 1841279338 - WARBURTON, WENDY, C.N.M 1851353973 - DUFFY, LORI, LICSW 1396797460 - Lifeworks, Inc. 1255350450 - TWOMEY, JEAN, LICSW 1215918396 - ESPOSITO, MATTHEW, M.D. 1801955570 - PARIS, RICHARD 1225457666 - KENNELLY, RAYNE 1689639874 - LUCARELLI, MICHAEL, D.O. 1962460980 - CAVANAUGH, COLLEEN, M.D. 1972560258 - SHAH, PARUL, M.D. 1912947045 - RICH, HARLAN, M.D. 1912100710 - DIXON STANNARD, MARY, LICSW 1427010867 - KILE, PAUL, M.D. 1720112287 - BOYAJIAN, ROBIN, LICSW 1932511805 - VISHNEVSKY, TANYA, LP 1417208802 - SHALLCROSS, ERIN, N.P. 1609852516 - WINER, ERIC, M.D. 1457399388 - DAMLE, NITIN, M.D. 1588641328 - SNADY-MCCOY, LORY, M.D. 1134449499 - WEBER, KATHERINE, LMFT 1568496677 - GORDON, PAUL, M.D. 1679534572 - NOONAN, THOMAS, M.D. 1922244292 - MARX, KRISTEN, LMHC 1275550816 - CHOICE PT OF EAST GREENWICH INC 1861510869 - MAREK, KIERSTEN 1598096927 - DUPONT, MARGARET Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $12,476 $12,475 $12,470 $12,465 $12,461 $12,435 $12,430 $12,417 $12,416 $12,415 $12,402 $12,383 $12,375 $12,371 $12,347 $12,332 $12,331 $12,324 $12,321 $12,320 $12,317 $12,313 $12,312 $12,306 $12,302 $12,302 $12,294 $12,286 $12,279 $12,277 $12,271 $12,266 $12,263 $12,261 $12,260 $12,259 $12,255 $12,250 $12,246 $12,241 $12,226 $12,215 $12,204 $12,201 $12,193 $12,192 $12,184 $12,184 $12,177 $12,175 $12,168 $12,165 $12,164 $12,151 $12,146 $12,121 $12,118 $12,097 $12,089 $12,086 $12,085 $12,083 $12,082 $12,079 MedicaidManagedCare20160513.xlsx Page 37 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1376633248 - ROBISON, KATINA, M.D. 1932183571 - SETNA, KURUSH, M.D. 1093911752 - BRUNELL, JENNIFER, LMHC 1386604890 - BRONSKY, SHARI, P.S.Y 1316346703 - AUBUCHON, BETSY 1164472916 - TELFEIAN, ALBERT, M.D. 1386709061 - HEARCARE RHODE ISLAND 1831518661 - Behavioral Medicine And Health Associates 1740355379 - DAVID M COLANNINO DPM 1124177316 - GRIMM, CATHERINE, LMHC 1134169220 - SULLIVAN, JAMES, M.D. 1114138302 - LIMA-RITACCO, KIMBERLY 1184636573 - CONNORS, KAREN 1134106750 - SCHULZ, MARTINA MARIE, P.A. 1225097314 - ROSENFELD, STEWART, O.D. 1255385472 - KOJIC, ERNA, M.D. 1356580716 - MCGUIRL, EDWARD, LCDP 1447286968 - ELAHI, SHAHID, MD 1629208293 - LOUVET, STEVE, D.O. 1295848091 - LE JACQ SMITH, TIMOTHY, LP 1982651626 - HERU, MICHAEL, M.D. 1992936744 - LIM, RICHARD, M.D. 1962449686 - FAGAN, MARK, M.D. 1598911224 - FAMILY EYE HEALTH ASSOCIATES INC 1972570422 - ROTONDO, KATHLEEN, M.D. 1215048160 - FARIA, KELLEY 1104164912 - Nancy Black 1982873139 - DIGITRACE CARE SERVICES 1063566917 - MINKIN, ANITA, LICSW 1336297902 - GRODEN CENTER 1194807917 - TEIXEIRA, RICHARD, M.D. 1912905209 - MAZZA, JOSEPH, M.D. 1912285982 - THIBERT, DANIELLE, LICSW 1801071311 - DIETZLER, CECILIA, LICSW 1154360469 - IANNOTTI, HARRY, M.D. 1841315975 - JACKSON, KIMBERLY, LICSW 1457517260 - CHEN, KENNETH KIN LEUNG, M.D. 1508209503 - HAGERTY, CLAIRE 1396720918 - LEFTICK, MARVEN, M.D. 1194060269 - Gateway Profesional Group, Inc 1043385354 - NORTHERN RHODE ISLAND ALLERGY & ASTHMA CENTER 1518976281 - CONNOLLY, JEANNINE, M.D. 1841297322 - GORELICK, DAVID, M.D. 1952342677 - COLETTA, BERNADETTE 1588866719 - DYER, ROBERT, M.D. 1144319641 - RICCIO, LAURIE 1508129388 - HATHAWAY, KEVIN 1043447097 - UMMARITCHOT, VORAWAN, M.D. 1518997634 - GOLDMAN, LISA, LICSW 1174887210 - IULIA CIRIUMARA RHEUMATOLOGY & INTERNAL MEDICINE 1558345488 - SMITH, RICHARD, MD 1366603763 - MAGGIO, LINDSAY, M.D. 1144258468 - CAREY, WILLIAM, LICSW 1962741348 - ABBOTT, ALLISON, N.P. 1568707990 - SENSATION STATION - GUILFORD 1720069669 - HAMBURGER, ADRIAN, M.D. 1710318951 - NOVACK, LINDSAY, LMFT 1508855263 - WERLE, MICHAEL 1114356342 - GALINATTI, RODOLFO, P.A. 1730272014 - FALLER, MARIAN, LICSW 1225266307 - FISCHER, ALISON, M.D. 1669417077 - ASHWORTH, JUDITH, PCNS 1801981691 - NORTON, JAMES, O.D. 1538378278 - SAYEED, ZABE, MD Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $12,065 $12,057 $12,032 $12,022 $12,011 $11,997 $11,986 $11,978 $11,967 $11,967 $11,966 $11,963 $11,949 $11,941 $11,935 $11,935 $11,930 $11,927 $11,923 $11,899 $11,888 $11,883 $11,865 $11,850 $11,846 $11,840 $11,839 $11,833 $11,828 $11,816 $11,815 $11,812 $11,812 $11,806 $11,777 $11,774 $11,774 $11,767 $11,767 $11,758 $11,753 $11,751 $11,736 $11,732 $11,727 $11,718 $11,710 $11,705 $11,700 $11,697 $11,682 $11,679 $11,674 $11,672 $11,660 $11,660 $11,651 $11,643 $11,642 $11,629 $11,624 $11,605 $11,603 $11,602 MedicaidManagedCare20160513.xlsx Page 38 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1689887549 - Gateway Healthcare, Inc. 1013901248 - VALICENTI, DANIEL, M.D. 1508867722 - SANDERS, HAROLD, M.D. 1174537443 - COMPREHENSIVE PHYSICAL THERAPY 1649288010 - GRACE, CARROLLYN 1689631640 - YEARWOOD, GREIGSTONE, M.D. 1285847467 - FORMAN, LAURA, M.D. 1407836109 - ATWOOD GASTROENTEROLOGY SERVICES LTD 1407265390 - SHAHID KHAN MD 1700071503 - SAVIANO, ERIKA 1285938894 - KNIGHT, LISA 1427082866 - SINGER, JANET, C.N.M 1285688754 - DERMARDEROSIAN, DIANE, M.D. 1346386646 - GIORDANO, BARRY, LICSW 1649311432 - HARRISON GOLDMAN, TERRY, LP 1467772285 - NAGLE, DREW, M.D. 1346680253 - CARREIRA, ANDREA 1861584138 - FONTAINE, MARIE, LICSW 1336465681 - DICATALDO, LANA, LCDP 1902804313 - BERG, GEOFFREY, M.D. 1588752406 - CANINO, FRANK 1487725743 - DIMARCO, KRISTEN, D.O. 1396814703 - JONES, CYNTHIA 1568492213 - KLIPFEL, CINDY, M.D. 1104900463 - HAND THERAPY ASSOCIATES 1093855900 - IRSHAD, FARID, P.A. 1285765792 - BHATT, HARIKRASHNA, M.D. 1063673713 - ROTH, JULIE, M.D. 1588750905 - MEINKE, WILLIAM 1649515313 - DERMATOLOGY ASSOC, INC. 1225210511 - RANUCCI, KERRI, LMHC 1467575746 - FAULKNER, JOSEPH, LICSW 1881620219 - LABONTE, DONALD 1811918394 - MCKENDALL, GEORGE, M.D. 1316228638 - GOULD, BLYTHE C 1124080254 - ROLAND, FREDY 1649355991 - BIANCO, RICHARD 1962659193 - SARAF, SAJID, M.D. 1396860110 - TAYLOR, LYNN, M.D. 1821309972 - FONSECA-VALENCIA, CAROLINA, M.D. 1053324137 - Ocean State Psychotherapy 1558345512 - HOJMAN, HORACIO, MD 1225276678 - ANIS, SARAH, M.D. 1730244666 - LINCARE DBA RSI 1023123171 - HOSU, ADRIANA, M.D. 1437258910 - HOUSTON, JEFFREY 1124002365 - HOGAN, DAWN, M.D. 1275513442 - ANIS, NADEEM, M.D. 1598866329 - WINSOR, CELIA, LCDP 1467462291 - PEREZ, VIDAL 1124069679 - WARD, NICHOLAS, M.D. 1497085732 - MERMIN, SARAH 1285670265 - LAMENDOLA, CHAD 1396825931 - MARZILLI JR, BERNARD, M.D. 1679503924 - OEXNER, AMANDA, LMFT 1689854440 - SHEPHERD, JENNIFER, LMFT 1437282902 - MEY, BARBARA, LMHC 1952547846 - RODRIGUEZ, SERGIO, M.D. 1932278322 - HURLBURT, HEATHER, M.D. 1619992906 - LANNI-FISHPAW, JOYCE, LMHC 1740256395 - ACKERMAN, EMILY, M.D. 1063655900 - CHITO, SANDRA, LICSW 1619315637 - MCLIMANS, SHARON, N.P. 1801071204 - FARAONE, TINA Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $11,596 $11,588 $11,570 $11,569 $11,567 $11,557 $11,550 $11,550 $11,537 $11,527 $11,510 $11,506 $11,496 $11,479 $11,470 $11,462 $11,459 $11,454 $11,452 $11,443 $11,439 $11,422 $11,406 $11,405 $11,392 $11,372 $11,367 $11,361 $11,359 $11,354 $11,350 $11,335 $11,334 $11,316 $11,313 $11,294 $11,293 $11,292 $11,284 $11,284 $11,270 $11,268 $11,250 $11,230 $11,227 $11,223 $11,219 $11,214 $11,203 $11,201 $11,185 $11,185 $11,175 $11,175 $11,172 $11,171 $11,169 $11,159 $11,157 $11,144 $11,131 $11,128 $11,125 $11,122 MedicaidManagedCare20160513.xlsx Page 39 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1063442713 - DUQUETTE, LORI, O.D. 1467600098 - ELLISON, ANDREW, LMFT 1669780094 - MERCURIO, KATHRYN 1578550265 - MYERS, JAMES, M.D. 1730420738 - ORTHO NOW RI 1346476926 - STEWART, ANGELA, LP 1659547321 - ZITER, JEANNE, M.D. 1457470759 - PINTO CABALLERO, GUISELA, LICSW 1134136427 - KHAN, AMIR, MD 1881635183 - GENESIS ELDERCARE PHYS SVCS INC 1659598191 - PEREZ, KIMBERLY, M.D. 1013973627 - LEVISS, JONATHAN, M.D. 1174544654 - ROBERTSON, JAMES, M.D. 1609862788 - PATRICK, CARRIE, R.P.T 1942498951 - SILVER SPRING HEMATOLOGY ONCOLOGY 1306939798 - SKINNER, JANET 1578539151 - JADERQUIST-BASSETT, CATHLEEN 1689966947 - MACDONALD, SUSAN, LMHC 1831157759 - BUONANNO, A. 1114127982 - NUTRITION INC. 1316224710 - SCHMITZ, ERIN, LMHC 1245318476 - COMSTOCK, CASEY, LMHC 1487769162 - MALEK, JUNAID YUSUF, M.D. 1508107426 - GONSALVES, DAWN, LMFT 1154676591 - GERIBO, WILLIAM, LICSW 1538384656 - CASE, BRADY, MD 1013928696 - PHILIBERT, SUSANNA, LICSW 1568611747 - BURROWS, KIM 1538106240 - BLECKER, DOUGLAS, M.D. 1780660092 - CHASE, WILLIAM, LICSW 1427092451 - KOTERBAY, ROBERT, M.D. 1194884080 - Day One 1609994045 - JOHN WARD PHYSICAL THERAPY 1295029262 - Coordinated Counseling Services 1831143981 - LELEIKO, NEAL, M.D. 1073585295 - MIGLIORI, MICHAEL, M.D. 1902009376 - MAJCZAK, MARTA, MD 1982657789 - REILLY, MAUREEN, CRNP 1659457919 - SHEFFIELD, PAMELA 1780801639 - St. Mary's Home For Children 1952395022 - DICENSO, ANGELO 1265452254 - PEPITONE, JESSICA, M.D. 1245554070 - IACHETTA, MARTA 1619974672 - WILSON, SCOTT, M.D. 1245238542 - DESAI, KIRIT, M.D. 1659792778 - Quality Behavioral Health 1144377961 - HEFFERNAN, DAVID 1477780195 - GUPTA, GEETIKA, M.D. 1326149634 - BIGELLI, ANGELO, D.P.M 1720073406 - CUNNINGHAM, DAVID, M.D. 1922251875 - THAKKAR, JINEN, M.D. 1861565913 - CALENDA EYE CARE CENTER - WARREN 1578710224 - LARLHAM, SUZANNE, PCNS 1871530592 - FELDER, MICHAEL, D.O. 1346337177 - VANNIEUWENHUIZE, RICHARD 1679607329 - SHARKEY, KATHERINE, M.D. 1124299037 - JENNINGS, TANEIL, LICSW 1386763746 - HOLMES, CHRISTINE 1235367137 - CARRASCO, CRESSON, LICSW 1124099361 - CHRISTU, PAUL, M.D. 1962593129 - SLOSS, PATRICIA, R.D. 1679627798 - GOUDIE, BRETT, M.D. 1437461894 - PATEL, MINTA RASIKBHAI, M.D. 1427177757 - CERRONE, JEANNE, LICSW Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $11,119 $11,113 $11,112 $11,109 $11,109 $11,104 $11,093 $11,085 $11,080 $11,061 $11,051 $11,049 $11,047 $11,045 $11,038 $11,038 $11,017 $11,015 $11,013 $11,009 $11,004 $10,995 $10,988 $10,983 $10,973 $10,968 $10,967 $10,948 $10,947 $10,942 $10,939 $10,931 $10,919 $10,913 $10,908 $10,908 $10,903 $10,882 $10,869 $10,861 $10,850 $10,847 $10,844 $10,838 $10,837 $10,833 $10,822 $10,812 $10,810 $10,810 $10,810 $10,803 $10,800 $10,798 $10,792 $10,778 $10,775 $10,769 $10,768 $10,764 $10,760 $10,755 $10,748 $10,747 MedicaidManagedCare20160513.xlsx Page 40 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1265578058 - CHARTIER, RICHARD, LICSW 1518989367 - STANCHINA, MICHAEL, M.D. 1760605109 - PALAV, ANJALI, LP 1508898909 - FAIRLAWN PRIMARY CARE INC 1699795617 - EDWARDS ORR, JAMIE, LICSW 1205879608 - O'MARA, TIMOTHY, M.D. 1831413293 - PRAGANA, MELISSA, N.P. 1306157730 - MESSITT, AMBER, D.O. 1477590826 - PRIDEAUX, CAREN 1528149853 - HEISS, ELIZABETH 1326033242 - GOLDHABER, MERYL, M.D. 1275882409 - SEITZ, KATHRYN, P.A. 1417003096 - VU, HOP, MD 1942339171 - KIRKPATRICK, ELIZABETH, LICSW 1427045301 - MENON, MRIDULA, M.D. 1861491086 - LUZ, DAVID, M.D. 1649237058 - LIU, PAUL YU, M.D. 1659503118 - KONJETI, VENKATA RAJESH, M.D. 1972696938 - WALLACE, JOAN, N.P. 1043455694 - DIGATI, GINA, PCNS 1639129877 - DILIBERO, MARY 1639123854 - KLINGER, JAMES, M.D. 1972568921 - DEROSA, MICHAEL 1851493290 - STOKES, SANDRA, P.T. 1750510988 - DEHAVEN, JORDAN, D.P.M 1023053410 - The Providence Center For Counseling And Psychiatr 1295814937 - COBRIN, LAWRENCE, D.P.M 1508852955 - CLANCY, LISA, P.T. 1952357998 - Emma Pendelton Bradley Hospital (Lifespan) 1316030125 - FANTONI, NICOLE, O.D. 1194164210 - Providence Children'S Museum 1164470597 - WEISS, ARNOLD-PETER, M.D. 1487634572 - Gateway Healthcare, Inc. 1174559603 - DISILVESTRO, PAUL, M.D. 1194837641 - SCHWARTZ, WENDY 1043359664 - SMALL, REBECCA, LICSW 1598946303 - MASSE, LISA, LP 1851549299 - BARBOZA, CARRIE, M.A. 1235193707 - GENESE, JOSEPHINE, D.O. 1275646440 - RICCI, ANTHONY 1063409233 - HEDGEPETH III, CHESTER, M.D. 1700821014 - SUNG, VIVIAN, M.D. 1275771362 - SHUKLA, PRARTHANA, M.D. 1699830612 - ENOS, STEPHANIE, LMHC 1508851601 - CICCHELLI, ROBERT, M.D. 1336145135 - BHARIER, MICHAEL, M.D. 1689639601 - BAUER, MICHELE 1386954949 - CANNON, ERIKA, LMFT 1871709147 - BANDOW, GRACE, M.D. 1780784835 - MARTLAND, WILLIAM 1558511600 - GRANT, REBECCA, LP 1851467161 - BRIONES, LEAH, M.D. 1003901497 - ROSE, MARY, CRNP 1881627164 - ONEIL, COURTNEY, A.U.D 1548408784 - KECHICHIAN, KEVORK 1902945058 - LAMBRECHT, JON, M.D. 1316976780 - BRANDON, NEIL, M.D. 1568545630 - KELLY, CARRIE, M.D. 1285674614 - POULIOT, MONIQUE, D.O. 1700044468 - CHUNG, ERICA, M.D. 1558381608 - BOUTILIER, LINDA, LICSW 1447201959 - MELLO, GAYLE, M.S. 1598896243 - TOABE, STACY, LMHC 1609863380 - RANA, NAVEED ASALM, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $10,740 $10,738 $10,732 $10,721 $10,719 $10,714 $10,681 $10,681 $10,674 $10,671 $10,668 $10,668 $10,649 $10,639 $10,628 $10,624 $10,609 $10,604 $10,597 $10,584 $10,580 $10,575 $10,575 $10,573 $10,558 $10,552 $10,551 $10,550 $10,546 $10,544 $10,542 $10,535 $10,534 $10,531 $10,531 $10,527 $10,524 $10,520 $10,506 $10,492 $10,491 $10,489 $10,476 $10,474 $10,463 $10,462 $10,460 $10,459 $10,454 $10,453 $10,449 $10,445 $10,437 $10,437 $10,431 $10,430 $10,417 $10,413 $10,400 $10,398 $10,394 $10,390 $10,379 $10,377 MedicaidManagedCare20160513.xlsx Page 41 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1790782571 - MURRAY, SHARON, CRNP 1003871856 - CRAIN, THOMAS, M.D. 1194980219 - OKEREKE, IKENNA, M.D. 1235234519 - BLACK, NANCY, LICSW 1316929748 - BENOIT JR, PAUL, M.D. 1609861053 - FALLON, FRANK, D.O. 1831239722 - SOUTHIERE JR, GEORGE, M.D. 1154375418 - ZERBINOPOULOS, PAUL, O.D. 1992759260 - ANVAR, MICHELLE, M.D. 1447221866 - ETIENNE, ALEX, MD 1700848579 - SABOL, SUSAN, LP 1003045782 - Galilee Mission Inc 1578577037 - GIANCASPRO, JOSEPH, M.D. 1245451871 - LETENDRE, PETER, LMHC 1457699431 - SONG, YOUNG DO, M.D. 1356451710 - SOUZA, JOAN 1689786725 - MILLER, KENNON, M.D. 1386745123 - LOWRY, PHILLIP 1790850584 - CLARKE, MARK, N.P. 1740401975 - North American Family Institute Inc 1245288026 - READER, CLAUDIO, M.D. 1306934054 - OEFINGER, RORY, O.D. 1417954199 - COLVIN, GERALD, D.O. 1750568531 - GAREWAL, VEENU, M.D. 1801904180 - ROSENTHAL, CHARLES, MD 1467585224 - MARCHETTI, JOHN, LICSW 1003911967 - KENT OPHTHALMOLOGY INC 1346291903 - PETROPOULOS, PETER, M.D. 1225156409 - BRAUNSTEIN, RANDI, LICSW 1629063847 - GOLDFARB, AMY, M.D. 1295722031 - MUEHLBERG, AMI, D.O. 1538149026 - NATE WHIPPLE RADIOLOGY 1205025939 - CERVONE, RICHARD, M.D. 1851310890 - CHRISTOPHER A DARCY MD, COASTAL RHEUMATOLOGY 1841297033 - HEBB III, DONALD, M.D. 1598012825 - PETERS, KRISTEN, LICSW 1871819599 - MOHAJER, POUYA, M.D. 1497828628 - PICKETT, BRIAN, M.D. 1386764785 - ROTH, LESLIE, M.D. 1053526798 - ARAUJO, ANABELA, LMHC 1457456386 - VARR III, WILLIAM, M.D. 1457423444 - GEE CHAMPAGNE, KATHERINE, LICSW 1164424123 - HARRISON, JOAN, M.D. 1467739854 - GLORIA, BARBARA 1992834253 - CAPUANO, TARA, NP 1134129257 - GROSS, MONICA, M.D. 1497783450 - LERISH, VICTOR, M.D. 1982657805 - O'BELL, JOHN, M.D. 1932408978 - LARSEN, JULIANA, LICSW 1467453431 - HAMILTON, GEOFFREY, M.D. 1558368092 - HARRINGTON, DAVID, M.D. 1710095096 - DRUCKMAN, DANIEL 1437173572 - SOMASUNDAR, SUKANYA, M.D. 1740300342 - DONALDSON, PATRICIA, M.S. 1588744221 - FILES, E TRACEY 1982878930 - COMMUNITY CARE ALLIANCE 1598095507 - SOUND ASLEEP ANESTHESIA LLC 1053587626 - BALDWIN, KEITH, D.O. 1669588687 - Tomas, Lee 1063466621 - TELANG, GLADYS, M.D. 1366469934 - FAIOLA, STACEY, P.T. 1669722898 - CHESHIRE, SUSAN 1508873738 - KIRK, MALCOLM, M.D. 1386709731 - DUFFY, LAURIE, M.S. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $10,371 $10,351 $10,348 $10,346 $10,337 $10,333 $10,331 $10,330 $10,322 $10,320 $10,320 $10,318 $10,318 $10,312 $10,312 $10,310 $10,309 $10,299 $10,293 $10,290 $10,269 $10,268 $10,268 $10,249 $10,246 $10,244 $10,242 $10,240 $10,218 $10,215 $10,212 $10,206 $10,206 $10,203 $10,197 $10,186 $10,178 $10,178 $10,172 $10,164 $10,157 $10,152 $10,148 $10,145 $10,143 $10,141 $10,138 $10,138 $10,126 $10,097 $10,085 $10,080 $10,078 $10,075 $10,068 $10,067 $10,065 $10,063 $10,057 $10,053 $10,050 $10,044 $10,042 $10,017 MedicaidManagedCare20160513.xlsx Page 42 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1902902364 - NEUROLOGY AT RI HOSPITAL 1881713436 - KNEELAND, JENNIFER, LMHC 1386861623 - DEGOOD, CATHERINE, DO 1972556066 - MEHARG, JOSEPH, M.D. 1801050794 - CUMMINS, CATHERINE, LMHC 1568407773 - WRISTON, SARA, M.D. 1063746592 - BARTON, NICOLE, P.A. 1376572651 - DAVIS, GLORIA, MD 1699909747 - MICHAEL LUCARELLI DO INC 1902839285 - MONZON, CARMEN, MD 1538378070 - CHALHOUB, ELIAS, M.D. 1790783744 - RYDER, BETH ANN, M.D. 1689635344 - FORCIER, MICHELLE, M.D. 1265864045 - TROMBA, MELANY, LP 1861417354 - GORDON, KATHLEEN, D.O. 1063562486 - PALUMBO, WILLIAM, M.D. 1346214293 - BOTELHO, NANCY, N.P. 1477881753 - MUTHUKRISHNAN, PREETIKA, M.D. 1952300816 - SCHNEIDERMAN, STUART 1629063219 - CALLAHAN, KEITH, M.D. 1316980121 - BARONE, ANTHONY, M.D. 1427155613 - COVENTRY HOME CARE 1376630244 - SKURKA, AMY, LCDP 1336183722 - CARNEY, KAREN, O.T.R 1891085387 - CRISCIONE, VINCENT, M.D. 1124032396 - HOWARD, ELISABETH, C.N.M 1609819457 - KENYON, RAQUEL, LICSW 1477673036 - HOPE MEDICAL SUPPLIES INC 1932247640 - Emma Pendelton Bradley Hospital (Lifespan) 1477989929 - SIMMONS, DANIELLE, N.P. 1720008741 - SPURRELL, TIMOTHY, M.D. 1366729121 - KAUFER, KYLE, LICSW 1467481648 - GORDON, NORMAN, M.D. 1093759227 - VALI, ANDREA, M.D. 1740469295 - Family Health Services - Coventry 1588670202 - RODRIGUEZ, DIANE 1568667434 - BARTOLOMEI, KEITH, M.D. 1538318241 - VENTETUOLO, COREY, M.D. 1033115712 - COHEN, ROBERT, M.D. 1639461619 - LARSON, SARAH E, R.D. 1679716187 - COOPER, SASKIA, M.D. 1801900147 - ANTHONY, PAULA, LICSW 1225372741 - TORINO, JENNY, R.D. 1265540868 - MANCINI, THOMAS 1962495416 - KERZER, MARTIN, D.O. 1073730065 - LUECKEL, STEPHANIE, M.D. 1184738106 - CERULLO, MICHAEL 1083839146 - BRAZ, ANNA, M.S. 1750341582 - HARRINGTON, MICHELLE, LMHC 1548228794 - SOUTHERN NEW ENGLAND RETINA ASSOCIATES 1306128251 - SIEGELMAN, JODI, P.A. 1871812552 - NASSAR, CAROLYNN JOY 1720049802 - MEILA, FELICIA 1881623247 - GALEK, STANLEY, LMHC 1356497176 - WAY, AARON, D.O. 1992731913 - SACHS, GEORGE, M.D. 1841517992 - MICHAUD, DAVID, LICSW 1619196755 - DONALDSON, DAVID, M.D. 1962702928 - ORODENKER, JUDITH 1225005507 - KOZIARA, ANGELINE 1548245962 - MANSOURATI, FADI, M.D. 1588618433 - HALL, RONALD, O.D. 1225133572 - FORD, SONYA 1427158898 - MONIZ, GEORGE, D.P.M Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $10,016 $10,014 $9,993 $9,987 $9,984 $9,983 $9,980 $9,980 $9,970 $9,967 $9,964 $9,964 $9,960 $9,958 $9,941 $9,937 $9,919 $9,905 $9,905 $9,896 $9,892 $9,892 $9,891 $9,881 $9,871 $9,871 $9,870 $9,870 $9,861 $9,858 $9,850 $9,847 $9,846 $9,836 $9,833 $9,820 $9,813 $9,808 $9,803 $9,799 $9,799 $9,799 $9,794 $9,786 $9,786 $9,778 $9,769 $9,751 $9,751 $9,748 $9,726 $9,722 $9,720 $9,713 $9,710 $9,699 $9,684 $9,682 $9,682 $9,675 $9,674 $9,672 $9,657 $9,645 MedicaidManagedCare20160513.xlsx Page 43 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1669566303 - EDSTROM, LEE, M.D. 1952669335 - PREMIER PHYSICAL THERAPY LLC 1063597466 - COLLINS, ELINOR, CRNP 1174537955 - DESMARAIS TOUPIN, FELICIA, LMHC 1275534281 - ORBAN, ZSOLT, M.D. 1093701948 - MARIORENZI, MICHAEL, M.D. 1477538411 - SARIS, STEPHEN, M.D. 1245330646 - BEDARD, ELIZABETH 1528055191 - JOHNSON, SHELLY, M.D. 1871650838 - O'CONNELL, LEILA 1396776266 - LONGACRE, MARIANNE, D.O. 1235150806 - HOPE VALLEY AMBULANCE SQUAD 1629235486 - ENE, THEODOR 1811995509 - ESTRADA, ELKIN, M.D. 1235239526 - SAMAAN, FADI, M.D. 1942568308 - CRAWFORD, KIMBERLY, LICSW 1346467164 - LOMBARDI, KRISTIN, M.D. 1285990986 - GREENWICH PODIATRY GROUP 1831154574 - HUMULOCK, KIMBERLY, D.O. 1699712489 - BROMBERG, CLIFFORD, LP 1114019551 - SARDELLA, PETER, D.P.M 1497788657 - RARDIN, CHARLES, M.D. 1760660773 - KILLEBREW, SUSAN 1043217250 - ALLEN JR, GREGORY, D.O. 1881779288 - MISRI, ASHISH, M.D. 1730595893 - SHERMAN, ELIZABETH, PCNS 1043417843 - CARNEVALE, SARA, M.D. 1558390369 - STEINHARDT, LINDA, C.N.M 1326295353 - GREENWOOD, NICOLE, M.D. 1275626582 - O FARRELL, JANE, LICSW 1871772160 - HANEEF, NEENOOFAR, M.D. 1932496098 - VERMA, POOJA, M.D. 1760622617 - HORRIGAN, LETITIA, D.O. 1821157454 - GILSON, IRVING, M.D. 1245233261 - GOLDSTEIN, JACK, M.D. 1073954376 - LARKIN DOBBS, LEIGH, N.P. 1871598946 - NEXT STEP ORTHOTICS & PROSTHETICS INC 1811331515 - TRUSKOSKI, ELIZABETH, LMHC 1588611081 - SCHLEINITZ, MARK, M.D. 1396891719 - FAGAN, KEVIN, LICSW 1366506917 - WELITOFF, NORMA, LICSW 1811916661 - SIKOV, WILLIAM, M.D. 1851498000 - BROUSSEAU, ERIN CHRISTINE, M.D. 1760736557 - ROGER WILLIAMS MEDICAL CENTER 1750343299 - ELLER, PETER, M.D. 1831327642 - ZHANG, DEQIANG, M.D. 1821002130 - MACMILLAN, JOANN, M.D. 1710999552 - BLISS, CYNTHIA, M.D. 1396720496 - DOUGLAS, JANIS, LMHC 1992921720 - WARRIER, SARITA, M.D. 1518995992 - KELLY, COLLEEN, M.D. 1649243643 - HEFFERNAN, JOHN, M.D. 1710994686 - KILSTEIN, BRUCE, M.D. 1073694790 - SOLOMON, RICHARD, LP 1194837898 - MANNING, JESSICA 1922434489 - ALLEN-ZUNUM, TIFFANY, N.P. 1669457735 - ALLEN, REBECCA, M.D. 1629396999 - CATANESE, STEPHANIE, M.D. 1558649822 - BRZOSKA, STACIE, P.A. 1699795443 - DEMORANVILLE, BEATRIZ, M.D. 1205974250 - HEALEY, KIRSTEN 1407167497 - BILLINKOFF, ZOE, MD 1811022122 - GARIGLIO, GWENDOLYN, LICSW 1831594134 - CALNAN, SEAN, P.A. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $9,639 $9,634 $9,631 $9,623 $9,611 $9,607 $9,605 $9,605 $9,603 $9,594 $9,594 $9,591 $9,590 $9,590 $9,583 $9,581 $9,575 $9,574 $9,574 $9,571 $9,571 $9,562 $9,552 $9,528 $9,525 $9,520 $9,516 $9,509 $9,504 $9,502 $9,472 $9,471 $9,469 $9,462 $9,460 $9,448 $9,436 $9,434 $9,427 $9,423 $9,421 $9,419 $9,408 $9,402 $9,379 $9,370 $9,369 $9,363 $9,355 $9,355 $9,354 $9,350 $9,347 $9,342 $9,336 $9,330 $9,317 $9,315 $9,312 $9,309 $9,309 $9,306 $9,298 $9,290 MedicaidManagedCare20160513.xlsx Page 44 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1265778732 - Family Service of Rhode Island, Inc. 1093951790 - GARAZI, MICHELE, M.D. 1992046221 - HELTON, LORA, LP 1700883477 - BOURGANOS, GEORGE, M.D. 1689092694 - NURTURING NUTRITION II 1376770727 - BRUNEAU, HEATHER, M.D. 1255371977 - LEWIS, CYNTHIA 1699975920 - KLUFAS & PRICE MEDICAL ASSOC 1871779116 - HALL, AUDREY 1306885223 - LUPOLI, TERRI, LICSW 1871695460 - FORMAN, DENNIS 1144265422 - SCARPACI, MICHAEL, LICSW 1023135720 - GUPTA, PREETI, M.D. 1265732192 - GRUPP, STEPHEN, P.T. 1659526069 - SOLMERE, TAWNY, LCDS 1346321387 - FUTRANSKY, JOANNA, LP 1073560330 - D'ARCY, CHRISTOPHER, M.D. 1083772404 - TESTA, ANTHONY 1083948657 - OROURKE, KATHLEEN, LMHC 1568530830 - WILLIS, JANE 1538275854 - MINAMI, TARO, M.D. 1710963004 - ANTHONY, JENNIFER, LP 1679512354 - FLANIGAN, TIMOTHY, M.D. 1043240062 - DIBBLE, CHRISTY, D.O. 1861717779 - YU, XIAOLIN, M.D. 1720210974 - HOLCOMB, MELISSA, LICSW 1588681795 - BAIROS, TERESA, LMFT 1295848067 - CONNELL, WILLIAM 1992898233 - SCHULMAN, HOWARD, M.D. 1992811871 - BANSAL, PRIYA, M.D. 1669766598 - KUMAR, AMEET, M.D. 1376729061 - SRINIVASAN, SRIPRIYA, PA 1790873537 - HALLAM, LORI 1912064296 - STAEBLER, MICHAEL, M.D. 1770721524 - DUNPHY, JENNIFER, LICSW 1558541011 - MAGUIRE, DAWN, LICSW 1275810434 - IMMUNOLOGY CENTER AT THE MIRIAM HOSPITAL 1891799482 - CALDARELLA, DAVID 1356392484 - CESARO, THOMAS, O.D. 1255376455 - BOUDJOUK, JASON 1356398390 - PROMRAT, KITTICHAI, M.D. 1649386442 - ROBERTS, DEBRA, M.D. 1407999444 - CONSTANTINOU, MARIA 1972618270 - ST VINCENT JR, WILLIAM, O.D. 1699174110 - CAWLEY, JENNIFER 1184854804 - TSAI, ERICA, MD 1003972084 - FOUNDATION PERFORMANCE INC 1194077974 - KELLEY, RORY 1477657757 - KUBIC, NANCY, LICSW 1598766537 - CONSTANTINO, CASSANDRA, M.D. 1932361698 - FINN, ARKADIY, M.D. 1053320200 - Spurwink/RI 1194013177 - CIANO, BRAD, D.P.M 1609926906 - JONES, LORI 1013018613 - MCQUADE MARKET PLACE PHARMACY 1336107382 - GALLER, EZRA, M.D. 1154394096 - HEINEMAN, JOSEPH, M.D. 1629383591 - DAGESSE, TRACY 1184609398 - FRIEDMAN, MICHAEL, MD 1376610253 - MILES-MATTHIAS, PAUL, M.D. 1922138809 - HITCHCOCK, MARTHA, M.S. 1073532297 - ALIOTTA, HEATHER, N.P. 1083651301 - HU, SUSIE LEE, M.D. 1780775957 - CHRISTINE A GILL MD Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $9,289 $9,287 $9,286 $9,281 $9,276 $9,270 $9,268 $9,255 $9,252 $9,251 $9,251 $9,249 $9,240 $9,237 $9,232 $9,232 $9,224 $9,215 $9,215 $9,210 $9,206 $9,203 $9,202 $9,197 $9,194 $9,192 $9,186 $9,184 $9,183 $9,181 $9,164 $9,156 $9,149 $9,125 $9,123 $9,122 $9,102 $9,101 $9,099 $9,091 $9,085 $9,082 $9,079 $9,077 $9,068 $9,065 $9,064 $9,062 $9,061 $9,059 $9,054 $9,045 $9,042 $9,034 $9,026 $9,023 $9,023 $9,017 $8,999 $8,998 $8,995 $8,984 $8,981 $8,975 MedicaidManagedCare20160513.xlsx Page 45 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1508041146 - ESPOSITO HADFIELD, LOREN, LICSW 1750348157 - KONESS, R JAMES, M.D. 1447221668 - JOUBERT, JACQUELINE, N.P. 1104187251 - HOLOWKA, DARREN, LP 1396798971 - HALL, ERIC, O.D. 1700892908 - HIRSCH, BENNETT, LP 1407158108 - BETLER, MICHAEL, D.O. 1013902816 - ANDREONI, WILLIAM, M.D. 1073539813 - REBEIRO, KATHY, N.P. 1215089321 - RATTENNI, ROBERT 1538108832 - RENZULLI II, JOSEPH, M.D. 1487665816 - BAXENDALE, JEAN 1376817312 - HOUSTON, LEAH, LMHC 1477894715 - GONCALVES, TIRZA, LICSW 1003123498 - CHARETTE, JOHN, LICSW 1316217920 - FAMILY DOCTORS GROUP 1083622922 - ARMENIO, VINCENT, M.D. 1184713919 - OCEAN STATE ENDOSCOPY CENTER 1770821910 - MADISON, JESSICA 1518989789 - MANNING, CAROL 1093716656 - MURDOCCO, JAMES, M.D. 1861493090 - HO, LYNN 1386789287 - OCEAN STATE HEARING AID 1821035643 - VINCE CRUZ, TEODULO, M.D. 1043325954 - SCHACHTER, LISA, LICSW 1033150586 - TONG, IRIS, M.D. 1164650321 - SPENCER, DANIEL, MD 1356379242 - ZIBRIDA, JOSEPH, M.D. 1992772438 - BERG, LEAH, LICSW 1710068754 - DINEEN, ANNE 1083839138 - HARWOOD, MICHAEL, M.D. 1215994405 - STOKOE, USHA, M.D. 1568523066 - CIOLFI, LINDA 1841428000 - ESMENDE, SEAN, M.D. 1780653667 - BABOIAN, RACHEL, M.S. 1497844963 - HURLEY, DANIEL 1295078434 - KOPPEL, PAUL, LMHC 1205804218 - GADOURY, LINDA 1508101742 - SEDLOCK, ANNE, F.N.P 1841258605 - SODHA, NEEL, M.D. 1295914976 - DUARTE, DANIELA, LMHC 1871885145 - D AREZZO, DARLENE, LMHC 1992746135 - ONEIL, ERIN HOGAN, M.D. 1285862268 - Psychological Associates Of Warwick 1972546992 - SHEINKOPF, STEPHEN, LP 1003146838 - KOCH, MARGARET, LMHC 1346215357 - BOYER, AMY, M.D. 1760896971 - Volpigno, Peter, AC 1558508309 - DOMINICK ZANGARI JR MD 1508821562 - BESSETTE, ROBERT, DO 1114912193 - LEMOI, ANDREW 1194829366 - MILLER, ERIC BRADLEY, M.D. 1093754780 - MELNICK, SIMON 1386718492 - MOORHEAD, DEBRA, LICSW 1003894825 - ATKINSON, JAMES, M.D. 1467407957 - MARCACCIO, VINCENT, MD 1043385081 - BOGS, TARA, LP 1417955071 - RODRIGUEZ, MARINA, M.D. 1134261035 - BARRINGTON RESCUE 1568457224 - GAINES, JOHN, M.D. 1124210968 - TRACY, MOLLY, M.D. 1780713735 - PISTACCHIO, KELLEY, LP 1962750851 - BERTUGLIA, ROBIN, LP 1861585630 - CALISE, JOANN, PCNS Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $8,975 $8,965 $8,965 $8,961 $8,957 $8,954 $8,953 $8,946 $8,942 $8,932 $8,926 $8,904 $8,903 $8,898 $8,895 $8,890 $8,886 $8,886 $8,886 $8,881 $8,868 $8,866 $8,859 $8,857 $8,857 $8,855 $8,846 $8,840 $8,838 $8,818 $8,817 $8,808 $8,804 $8,789 $8,788 $8,784 $8,778 $8,774 $8,771 $8,770 $8,765 $8,745 $8,743 $8,740 $8,734 $8,732 $8,729 $8,727 $8,696 $8,688 $8,686 $8,683 $8,679 $8,669 $8,664 $8,662 $8,660 $8,660 $8,656 $8,651 $8,650 $8,643 $8,628 $8,606 MedicaidManagedCare20160513.xlsx Page 46 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1821038951 - SCHWARTZ, STUART, M.D. 1750474599 - HOLLER, KAREN ANNE, LP 1730337585 - Gateway Healthcare, Inc. 1982627634 - BENNETT III, LEE, P.T. 1124059936 - SPIZZIRRI, MICHAEL 1205057890 - MILLAN, CAROL SUSAN, N.P. 1437175718 - CRISTO, STACY, LMHC 1922137306 - BURKART, EILEEN, LP 1649444209 - MANGIAMELI, ELIZABETH, LICSW 1487775573 - TULLI, DAVID 1376562314 - KORR, KENNETH, M.D. 1154657443 - BOUTILIER, JENNA 1336101815 - WALKER, ROBERT, LMHC 1790780336 - FEDER, SETH 1518112960 - SADOFF, ALANNA 1700805967 - KESZLER, MARY LENORE, M.D. 1689695736 - MOULTON, ANTHONY, M.D. 1376691535 - Dealy Associates 1881756500 - CHRISTOPHER, PAUL, MD 1558347997 - TRASK, CHRISTINE, LP 1225081813 - DIONISOPOULOS, PAUL, M.D. 1427247956 - RIVERA, FEDERICO 1093870495 - MILLER, JULIE 1285745919 - ABBRUZZESE, ROSEMARIE 1174771323 - BRENNAN, CHRISTOPHER, M.D. 1407839657 - CUSHING-BRESCIA, ANNE, M.D. 1386659019 - BRANCATO, MARK 1245256528 - JELLINEK, NATHANIEL, M.D. 1871791483 - PURNELL, SARA, RN 1255352738 - SHARAF, BARRY, M.D. 1508037540 - SCOTT, GREGORY, LICSW 1336215664 - MCKONE, MAUREEN, RN 1841220613 - FLYNN, ELIZABETH, MD 1174508584 - SUN, MARGARET, M.D. 1669420899 - MACANDREW JR, VINCENT, M.D. 1154327245 - THOMAS, EDWARD, M.D. 1356671960 - KO, RACHEL, LMFT 1033132816 - CORRAO, WILLIAM, M.D. 1730281346 - BAUMAN, ANNE, M.D. 1033412507 - MAY, JEREMY, LMFT 1083720502 - HARRITOS, NANCY, N.P. 1851345011 - JEREMIAH, JENNIFER, M.D. 1891789277 - MONTEMARANO, VINCENT 1982799599 - Butler Hospital (Care New England) 1063417855 - ARCHER, JANICE 1427113885 - FALKENBERRY, ALLISON 1154645711 - CAMERON, SCOTT, M.D. 1962415174 - COLLETTE, MICHELLE, LICSW 1730100215 - LEVINE, DANIEL, M.D. 1770512766 - HAYDEN, MICHAEL, D.O. 1508841081 - SADOVNIKOFF, GREGORY, M.D. 1962609958 - TSAI, DEVIN, D.O. 1184651911 - FANNING, STEPHEN, D.O. 1891721510 - MORETTI, JILL, PCNS 1730278201 - TARQUINIO, KEIKO, M.D. 1760739916 - SHELLEY, KAYLA MARIE, P.A. 1760534952 - WELD, TANIA, LMFT 1174585624 - ST JEAN, BERNARD, M.D. 1629399951 - BAUER, BANJAMIN JARED, M.D. 1972708287 - DAVID, KRISTIN, LP 1225042153 - GUGGENHEIM, FREDERICK, MD 1770669004 - BRUCE, ELLEN GORDEN 1013968379 - REMSBECKER, STEPHEN 1659508513 - MORRELL, NATHAN THOMAS, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $8,599 $8,597 $8,585 $8,565 $8,565 $8,561 $8,558 $8,558 $8,557 $8,552 $8,529 $8,525 $8,518 $8,517 $8,513 $8,511 $8,499 $8,498 $8,493 $8,475 $8,468 $8,460 $8,457 $8,457 $8,452 $8,451 $8,429 $8,426 $8,422 $8,414 $8,410 $8,405 $8,387 $8,379 $8,376 $8,370 $8,366 $8,355 $8,355 $8,354 $8,353 $8,352 $8,338 $8,330 $8,319 $8,313 $8,310 $8,308 $8,300 $8,295 $8,294 $8,284 $8,281 $8,281 $8,268 $8,265 $8,255 $8,251 $8,247 $8,243 $8,242 $8,241 $8,240 $8,229 MedicaidManagedCare20160513.xlsx Page 47 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1891749016 - HUSSAIN, SAIRA, M.D. 1831149871 - KIELY, LAURIE 1447304530 - WEBBER-GAFFNEY, ALISA 1982892824 - BAYLISS, GEORGE, M.D. 1154304996 - BORKAN, JEFFREY, M.D. 1952386450 - MCINTEER, DEBBI, MD 1760445373 - UMASS MEMORIAL MEDICAL GROUP 1629370804 - BERNDT, MEGAN 1417143850 - MURPHY, ERIC, P.T. 1336240563 - POIRIER, BEVERLY 1851423743 - DUBOIS-HALL, DIANE, D.O. 1831146877 - OLIVA, JEANNE, M.D. 1326151937 - BEHTASH, SOLMAZ, D.O. 1770520462 - MIRIAM HOSPITAL PHYSICIANS 1003816117 - MCKEEFF, DIANE, N.P. 1902882343 - CASSEL, CHRISTINE, P.A. 1366547358 - BORDONARO, SUSAN, N.P. 1871514349 - ARRIGHI, JAMES, M.D. 1386690394 - WOMENS INTERNAL MEDICINE INC 1134166960 - PASQUARELLO, GEORGE, D.O. 1801018932 - BRAUER, ORRIE, LCDP 1255398392 - SONG, PATRICIA 1326253253 - MULLERVY, G MILES, LICSW 1053679779 - RAPOSA, CHERYL, LICSW 1699014423 - GARCIA, JESSICA, M.A. 1578553830 - TETTEY, PEPPINO, M.D. 1265446264 - AVANT FOWLER, CATHERINE, LMHC 1962623553 - LASALLE, CATHY, LCDP 1023039591 - GILSON, MICHAEL, M.D. 1932205655 - OTTOWITZ, WILLIAM, MD 1437114436 - CATHLEEN NAUGHTON ASSOC INC 1093814931 - WEISER, TOBY, P.A. 1255493904 - GESSOW, REBECCA, LICSW 1639170533 - TORF, ALANE, M.D. 1487638003 - MAGEE, SUSANNA, M.D. 1578598165 - MILLER, LINDA, LMHC 1497727101 - DAIGLE, KAREN, M.D. 1003012014 - SCARFO, KEITH-AUSTIN, D.O. 1073567343 - BREIDING, PAUL, M.D. 1871884965 - DAVIS, EMILIE 1629172366 - MACBETH, ROBERT 1629231832 - PULICKEN, MATHEW, M.D. 1952332041 - NADEEM, AHMED, M.D. 1396906384 - GARNECHO, ANA, M.D. 1427245067 - SPECS EYECARE, INC. 1144278821 - MISTO, HOLLY, O.D. 1972509636 - TROISE, CAROLINE, M.D. 1841418944 - REAGAN, JOHN, M.D. 1285669275 - CARREAU, GAIL, M.D. 1972787596 - SUSAN M ALMEIDA MS PT 1578517751 - MCGARRY, KELLY, M.D. 1770849010 - DORVAL, CHRISTOPHER, LCDP 1790797538 - BUTERA, JAMES, M.D. 1003967449 - CLARKE JONES, JUDITH, LMHC 1295987543 - CHENG, VICKY, M.D. 1356338073 - VICCIONE, TODD, M.D. 1598995045 - THOMAS, VINOD 1902027279 - CORDEIRO, MICHAEL, LICSW 1497753644 - MIGLIORI, STEPHEN, M.D. 1538212923 - SOMASUNDAR, PONNANDAI, M.D. 1720017130 - TORREY, SARAH, LICSW 1093714107 - GABRIEL, DAVID, O.D. 1104885623 - WRIGHT, KATHLEEN, LMHC 1477883825 - New England Medical Office Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $8,225 $8,221 $8,221 $8,221 $8,219 $8,211 $8,199 $8,173 $8,172 $8,165 $8,165 $8,165 $8,164 $8,164 $8,163 $8,161 $8,157 $8,149 $8,146 $8,141 $8,141 $8,140 $8,138 $8,136 $8,119 $8,113 $8,107 $8,102 $8,099 $8,099 $8,087 $8,083 $8,080 $8,073 $8,063 $8,059 $8,058 $8,051 $8,044 $8,040 $8,037 $8,036 $8,035 $8,020 $8,018 $7,998 $7,991 $7,990 $7,989 $7,986 $7,985 $7,974 $7,972 $7,967 $7,967 $7,965 $7,960 $7,956 $7,955 $7,951 $7,949 $7,948 $7,944 $7,943 MedicaidManagedCare20160513.xlsx Page 48 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1952743288 - GOLLUB, ELIZA 1770674996 - IZZI JR, JOSEPH, M.D. 1902054323 - Psychological Wellness Center 1710960687 - ASPRY, KAREN, M.D. 1174513451 - O'HEELAN, KATHLEEN, D.O. 1376557207 - COFONI, PAULA, LCDP 1952494759 - DERESIENSKI, MARK, O.D. 1396881546 - BLACKMAN, CAROLYN, M.D. 1316055510 - OLIVIERI, BETH, LICSW 1144283276 - HANCE, ROBERT VINCENT, M.D. 1346497054 - TAVARES, DOLORES, LICSW 1972504280 - PETTERUTI, STEPHEN, D.O. 1316189442 - RYVKIN, INNA, M.D. 1215073119 - MATSON, DEBORAH 1952365652 - BUCHBAUM, ERIC, D.P.M 1659555357 - MILVA CATALLOZZI MS PT 1801026489 - MORIN, VIOLET, LMHC 1790955391 - DEMELLO, PAULA JOYCE, N.P. 1356458822 - Butler Hospital (Care New England) 1164720389 - PAILLOT, CELINE, LP 1881714053 - HIRSHBERG, LAURENCE, LP 1326032004 - SMITH, DEIRDRE, N.P. 1962781153 - SOMALARAJU, SANDEEP RAJU, M.D. 1629341813 - MORA JARAMILLO, CESAR AUGUSTO, M.D. 1548325848 - SHAWHUGHES, LAURA, M.D. 1164538070 - GUTMAN, NED, M.D. 1912011057 - GIBLIN, TERRENCE 1912049347 - FORD, NICOLE, LICSW 1710255278 - HOLCOMBE, HOLLY, R.D. 1457309619 - RISER, MARK, D.O. 1619134921 - HERMAN AYVAZYAN MD 1851671135 - LOVEDAY MCGUIRE, MICHELLE, LMHC 1053324384 - STUART, JAMES, D.O. 1407267503 - MEDINA, BRENDA, LICSW 1770734436 - KHAWAJA, HUSSAIN RAZA, M.D. 1710983523 - APPENFELLER, REX, M.D. 1265520159 - BRENMAN, ALLAN, E.D.D 1346264918 - CAHILL, TERRENCE 1053533182 - HINDLEY, JANET, LICSW 1962473314 - BERCOVITCH, LIONEL, M.D. 1932182615 - BRADSHAW, KENNETH, D.O. 1285692947 - THOMAS, ANTHONY, M.D. 1376662007 - MUELLER, MARY, LICSW 1396785325 - LEVY, MITCHELL, M.D. 1538216635 - HEALTH CARE CONNECTIONS NURSING SERVICES INC 1538397732 - KLINGE, STEPHEN, M.D. 1427194737 - TONNESSEN, GAIL 1043241615 - SMITH, JEAN, M.D. 1972566834 - MAMDANI, SHAFIQ, M.D. 1063477032 - ELINZANO, HEINRICH, M.D. 1336136852 - MEREN, TESFAYE, M.D. 1528133808 - RUSSELL A SETTIPANE, MD 1588686430 - KANTER, MARILYN 1326229501 - ABEJUELA, MARIE, M.D. 1346258209 - LEDERER, BENJAMIN, MD 1346237039 - GILMAN, RONALD, M.D. 1417228255 - ORCHOWSKI, LINDSAY, LP 1457515603 - ZAINAH, HADEEL, M.D. 1326214537 - KAFALAS, NAYDEEN 1437312386 - Lifespan Physician Group 1033215991 - WIESNER, LORI 1841410743 - CONNOLLY, MICHAEL, M.D. 1477544237 - BRELSFORD, MARY, LICSW 1841436029 - ESPOSITO, MICHAEL Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $7,940 $7,940 $7,940 $7,934 $7,933 $7,930 $7,925 $7,905 $7,898 $7,893 $7,886 $7,882 $7,881 $7,874 $7,869 $7,868 $7,867 $7,865 $7,857 $7,855 $7,842 $7,819 $7,813 $7,813 $7,803 $7,803 $7,799 $7,798 $7,797 $7,786 $7,781 $7,777 $7,776 $7,774 $7,770 $7,765 $7,750 $7,740 $7,738 $7,736 $7,730 $7,730 $7,726 $7,722 $7,719 $7,718 $7,716 $7,714 $7,714 $7,712 $7,710 $7,708 $7,685 $7,684 $7,684 $7,683 $7,682 $7,673 $7,672 $7,668 $7,664 $7,663 $7,662 $7,658 MedicaidManagedCare20160513.xlsx Page 49 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1083701957 - GAREAU, VALERIE, P.T. 1780671149 - KEMPNER, STEVEN, M.D. 1972543049 - RICH, JOSIAH, M.D. 1568608461 - Child & Family Support Program 1982924890 - WARD, LAUREN, M.D. 1295725141 - PAPA, ALESSANDRO, M.D. 1144357518 - PATEL, KATJA, LICSW 1467564922 - COASTAL IMAGING ASSOCIATES INC 1245331982 - PATSIOPOULOS, GEORGIA, O.D. 1942523303 - MAITRA, SUBHANKAR, M.D. 1356440754 - GREEN, BRAD, D.O. 1194964098 - CHESSON, KATHERINE 1831207752 - LOWE, DAVID 1518089606 - HUOTT, THOMAS 1881651941 - DIPETRILLO, THOMAS, M.D. 1528110806 - LEVY, JENNIFER, M.D. 1134278369 - GONZALEZ, EILEEN, M.D. 1780850925 - BROWN, JENNIFER, LMHC 1093752560 - WILNER, KARYNE, LP 1699934919 - SINGER CABLE, BETSY 1043646128 - UGBANAJA, JENNIFER 1326038647 - HARRIS, JEFFREY, M.D. 1326173113 - KOKTURK, DIDEM, O.D. 1841323094 - SSTARBIRTH 1568444636 - CHASE, CATHERINE, DO 1003802943 - SHAW, MICHAEL DUDLEY, P.T. 1124101258 - PATTERSON, ROBERT, M.D. 1922297134 - SPINETECH PT 1861710394 - GRANT, MEGHAN, D.O. 1487910204 - Delta Consultants 1588738603 - HEFFERNAN, MICHAEL 1619056355 - GIBBONS, ROBERT, D.P.M 1851447486 - PROPATIER, STEPHEN, N.P. 1417963737 - SCHEIBER JR, JON, M.D. 1548246382 - BAHR, ROBERT, M.D. 1255373981 - DWYER, PATRICIA, LICSW 1477646529 - WHITE, ELIZABETH, LMHC 1578843264 - COMFORT HOME CARE SERVICES 1215067467 - WALDRON MELLO, MARY, LICSW 1124071097 - KARANASIAS, PETRO, M.D. 1972585776 - ROSENTHAL, JUDI, M.D. 1194938670 - WERNER, ERIKA, M.D. 1285678433 - HANLEY, MARY ELIZABETH, D.O. 1386757656 - PACHECO, CRISTINA, M.D. 1659390813 - RHODE ISLAND SPINE CENTER 1013189174 - KERNS, ERIC 1528394178 - CUMBERLAND PRIMARY CARE INC 1790823193 - MONROE ROCHE, KATHLEEN, LMFT 1962449900 - BURTT, DOUGLAS, M.D. 1134120157 - PERRONE, HOWARD, M.D. 1417176504 - STEVEN DILIBERO OPTICIANS 1346249695 - YOBURN, DAVID, M.D. 1932144011 - FRIEDER, LUCILLE, LP 1437487170 - JESSICA CLAYBURGH MSPT 1821082777 - PUERINI JR, ALBERT, M.D. 1417932633 - PECK, ROBERT 1114024643 - CUNNINGHAM WARBURTON, PATRICIA, CRNP 1932231784 - CURRIER JR, PATRICIA, N.P. 1730125089 - CODAC, Inc. 1164620548 - LICHT, RASHMI, M.D. 1881983468 - PARK, BORAM, M.D. 1497709497 - DEMATTEO, IRENE, RN 1699061648 - CORR, JOANNE 1093771404 - STENGEL, CHARLES, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $7,657 $7,647 $7,629 $7,622 $7,618 $7,618 $7,600 $7,597 $7,588 $7,588 $7,587 $7,585 $7,585 $7,578 $7,572 $7,560 $7,554 $7,545 $7,542 $7,540 $7,536 $7,534 $7,531 $7,528 $7,528 $7,527 $7,525 $7,525 $7,521 $7,516 $7,511 $7,510 $7,509 $7,509 $7,502 $7,499 $7,495 $7,494 $7,489 $7,485 $7,481 $7,476 $7,475 $7,461 $7,458 $7,455 $7,448 $7,445 $7,440 $7,439 $7,425 $7,425 $7,422 $7,417 $7,417 $7,417 $7,413 $7,401 $7,385 $7,379 $7,372 $7,366 $7,360 $7,359 MedicaidManagedCare20160513.xlsx Page 50 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1366447203 - ADAMS JR, CHARLES ANDREW, M.D. 1447463906 - PLOUFFE STINSON, CHRISTINE, LMHC 1962499897 - LU, HUA, M.D. 1700141108 - SILVA, MARY, LICSW 1942418199 - CARD, ELAINE, LICSW 1629143920 - TOLLGATE ALLERGY & ASTHMA 1457303596 - SWAIN, DAVID, LICSW 1679548697 - CAPUANO, MICHAEL, D.O. 1447298641 - LICHT, WARREN 1215985999 - MAGLIARI, SALVATORE, O.D. 1972801835 - MCKNIGHT, ERIC 1700892726 - ZAYDON, PAUL 1801846449 - GOODRICH, CAROLYN 1447311006 - PLAMONDON, CAROLINE 1093960783 - FEHNEL, COREY, M.D. 1376579318 - BLUM, ANDREW 1124075395 - Kent County Memorial Hospital (Care New England) 1225124985 - NEWMAN, JEFFREY 1891834958 - LUTTMANN, CHRISTOPHER, M.D. 1851458665 - GEMMA, KELLEY, LICSW 1437232543 - PROVIDENCE SURGICAL CARE GROUP 1922081447 - MCCOY, CHARLES, M.D. 1386626174 - MOONAN JR, DENIS, M.D. 1225278476 - FALLON, KAREN, LP 1679529333 - CASSIN, KATHLEEN, M.D. 1336146562 - LEVIN, WILLIAM, M.D. 1568667848 - INTERNAL MEDICINE & SYNCOPE CLINIC 1811947286 - NEWKIRK, JENNIFER, LP 1104893155 - DIAS-HOFF, LUCIA, M.D. 1124014048 - LEDDY, FRANKLIN, M.D. 1639313810 - GARDELLA, NICOLE MARIE, N.P. 1790847663 - TRACY, PAUL 1255353108 - LEVINSON, JACQUELINE 1194715060 - MARTIN, EDWARD, M.D. 1104125970 - MARTIN, KRISTEN-LYN, N.P. 1235113358 - LEE, GEORGE, M.D. 1184937922 - KARKI, KABITA, M.D. 1275587446 - CUSHING, LAUREN, N.P. 1457304719 - JUDGE, COLLEEN, LMHC 1861607582 - GALLAGHER, MICHELE 1760450753 - SPENCER, JOAN, PCNS 1891783783 - JONES, MATTHEW, M.D. 1710148572 - GARY G KING 1053331165 - DIZOGLIO, JOSEPH, M.D. 1831256221 - LINDBECK, CATHY, PCNS 1922395094 - Peter Letendre And Associates LLC 1235359142 - VANPOZNAK, MARISA, M.D. 1821241910 - REYNOLDS, KATHRYN, N.P. 1801108659 - DEPARTMENT OF NEUROSURGERY 1467477224 - REID, DOUGLAS, D.P.M 1316053564 - GIBBS, KENDALL 1669411906 - RILEY, LARYL, N.P. 1124046040 - WYLLIE, JOSEPH, D.O. 1316998842 - HARRIS, NANCY, LICSW 1700827466 - CAPUANO, UMBERTO 1235268426 - NIRENBERG, TED, LP 1417991571 - CHINN, ROBERT 1518114859 - KWAN, DANIEL, M.D. 1396804654 - SHORELINE PULMONARY ASSOC LLC 1780748806 - NORTH SMITHFIELD PODIATRY INC 1811939705 - FROEHLICH, JOHN, M.D. 1407853997 - BLODGETT, PAMELA, O.D. 1235246323 - WALSER, KAREN, C.N.M 1386905313 - SILVER SPRING INFECTIOUS DISEASE Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $7,359 $7,353 $7,336 $7,335 $7,327 $7,321 $7,320 $7,319 $7,307 $7,301 $7,300 $7,297 $7,286 $7,281 $7,277 $7,275 $7,274 $7,274 $7,273 $7,272 $7,268 $7,263 $7,259 $7,258 $7,255 $7,253 $7,246 $7,246 $7,245 $7,242 $7,241 $7,236 $7,230 $7,220 $7,215 $7,213 $7,203 $7,202 $7,194 $7,192 $7,190 $7,179 $7,168 $7,167 $7,166 $7,164 $7,162 $7,156 $7,148 $7,141 $7,134 $7,128 $7,127 $7,125 $7,119 $7,118 $7,116 $7,115 $7,114 $7,113 $7,106 $7,105 $7,099 $7,088 MedicaidManagedCare20160513.xlsx Page 51 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1992718233 - MORROW, MAUREEN, C.N.M 1710983366 - FOREMAN, DOUGLAS 1063507978 - MANNING, CARYN, LP 1871751917 - KHEIRBEK, TAREQ, M.D. 1255381554 - SHEEHAN, HELEN, LICSW 1407079643 - EASTSIDE NEUROLOGY, INC 1346371184 - LORVIDHAYA, PEEM, M.D. 1851338180 - CHEVALIER, CONCETTA, LMFT 1013100759 - GELZHISER, JOHN, M.D. 1578582086 - WOJCIECHOWSKI, ED, P.T. 1982630927 - DONNELLY, EDWARD, M.D. 1528059193 - PHILIPS, ALEXANDER, M.D. 1972702801 - MORT, SARAH, LICSW 1871652800 - AUGER, DENNIS 1548696941 - MEMORIAL HOSPITAL OF RHODE ISLAND INC 1932139250 - DICENSO, CAROL, LMHC 1669551404 - ZINNO JR, WILLIAM, LICSW 1780942292 - PRUNIER, MARGARET, LMHC 1740483742 - HANLEY, LINDA, M.D. 1588675698 - ZULLO, MARK, M.D. 1265658116 - CHAN, PHILIP, M.D. 1194012203 - REHMTULLA, MASOOMA, M.D. 1154372472 - LOMBARDI, ANTHONY 1255443842 - GOULD, LISA, M.D. 1760626600 - BROWN, SHEREENE, M.D. 1275586414 - MOORE, MEGHAN, N.P. 1073544664 - BLOCK ISLAND HEALTH SERVICES 1922114842 - VIGNOGNA, MICHAEL, MD 1225051287 - KUTZ, STEPHEN, M.D. 1841304078 - GOLIJANIN, DRAGAN, M.D. 1467430512 - HAMEL, ROBERT, PCNS 1346209459 - ZIEGLER, JAMES, M.D. 1275741845 - HODOSH, MICHAEL 1386722700 - CALCATTI, JAVID, M.D. 1821494915 - GILLEN, CAROL, LMHC 1710913868 - BADER, DAVID, M.D. 1245277953 - BLEDSOE, THOMAS, M.D. 1033247309 - TOWN OF NARRAGANSETT FIRE DEPT 1962638007 - LEE, JOHN, LP 1003896101 - Gateway Healthcare, Inc. 1497082812 - Day One 1528140811 - GERARD, BETTIE, LICSW 1710912878 - CLANCY, ROBIN 1770605768 - COLOMER, CARMEN, PCNS 1679798292 - GARTMAN, ERIC 1992745111 - MICHAUD, JACQUELINE, D.O. 1679668164 - CALIFANO, NICHOLAS, M.D. 1568489292 - POPPAS, ATHENA, M.D. 1003839218 - KATZMAN, GARY 1972815306 - HUSSAIN, GHAZI, M.D. 1518906924 - MCKINSEY, LORI 1326087677 - DUFFY, CHRISTINE, M.D. 1831120260 - HERSHEY, STEVEN, P.H.D 1730319955 - HESS, LYNN, LP 1902988660 - REICHSTEIN, LISA, LICSW 1629181268 - COIA, DAVID, D.O. 1356672877 - BRUCE, LINDSEY, M.D. 1114001393 - MORALES OLIVER, LESLIE 1225084064 - RANEY, JENNIFER, M.D. 1790787752 - CALLEN, DENNIS, M.D. 1366599441 - CHILD JR, A ROBERT, O.D. 1083718787 - HEBBLE, STELLA, LCDS 1902826308 - COLANTONIO, LOUIS 1649532177 - KING, DIANA, P.A. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $7,087 $7,085 $7,061 $7,057 $7,056 $7,056 $7,053 $7,052 $7,047 $7,044 $7,044 $7,043 $7,032 $7,017 $7,014 $7,012 $7,010 $7,006 $6,997 $6,995 $6,994 $6,983 $6,979 $6,979 $6,978 $6,975 $6,972 $6,969 $6,964 $6,952 $6,941 $6,937 $6,935 $6,931 $6,916 $6,904 $6,889 $6,879 $6,874 $6,873 $6,871 $6,862 $6,859 $6,858 $6,857 $6,857 $6,856 $6,855 $6,851 $6,844 $6,820 $6,819 $6,812 $6,804 $6,799 $6,795 $6,788 $6,775 $6,775 $6,770 $6,768 $6,768 $6,766 $6,763 MedicaidManagedCare20160513.xlsx Page 52 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1083877963 - ELLSWORTH, CHARLENE, M.D. 1477883171 - HENNESSEY, KATHLEEN, LICSW 1447281290 - FORD, RICK, LICSW 1912092040 - MESSORE, PAMELA, LICSW 1225073638 - MIRIAM HOSPITAL 1649433228 - DUARTE, MELISSA, D.O. 1609947472 - DESMARAIS, ROLAND, M.D. 1457452120 - COLLINS, CHARLES, M.D. 1609882893 - NICOLETTA, LYNN, LP 1518942739 - GOLDBERG, RICHARD, MD 1528056991 - CHARLESTOWN AMBULANCE & RESCUE SERVICE I 1891841755 - PEIPOCK, JESSICA, LICSW 1891716437 - DELUCA, LINDA, M.D. 1578503694 - WING, EDWARD, M.D. 1174829873 - MARTORANA, MEGHAN, R.D. 1992702138 - BURKE, BRENDA, M.D. 1740296086 - SULLIVAN, JAMES, D.P.M 1285791640 - KENT CARDIOLOGY ASSOCIATES 1710908298 - RAYMOND, ROGER, M.D. 1447484233 - THOMPSON, CLAIRE, LCDP 1922125061 - TOBIN, WILLIAM 1619116993 - ANDERSON, JANET, LP 1811255326 - TANG, JIN 1164420576 - CLEMENT, JEFFREY, M.D. 1942291430 - ROBLIN, MARJORIE 1700050879 - SMITH, JEANETTE, M.D. 1659316982 - BRUCE, SUSAN, LICSW 1295756765 - KEATING, EDWARD, M.D. 1851612626 - GIETL, SHANA 1811095706 - COLANNINO, DAVID, D.P.M 1144313909 - MALLOY, PAUL, LP 1881896629 - O'BRIEN, JILL, M.D. 1154524643 - EL-BIZRI, RABIH, M.D. 1649591421 - DELA LUNA, JONATHAN VILLAS, M.D. 1508914755 - GRAVES, PATRICIA 1033182795 - KIM, MICHAEL, M.D. 1669472874 - KUHAR, MARK, D.P.M 1134291735 - STEIGMAN, DAVID, M.D. 1548400856 - MOIRANGTHEM, VALENTINA, M.D. 1154346500 - ABRAHAMS, HEATHER, MD 1427078575 - Child & Family Support Program 1922198837 - NUNES, BELARMINO 1407800675 - MALLOZZI, STEVEN 1144309006 - TAYLOR, HELENA, M.D. 1538116686 - MUGLIA, JENNIE, M.D. 1548294218 - MACKEY-FOWLER, HEATHER, M.D. 1922319243 - ZERVAS, NATALIE, LP 1720063399 - SUMMERHILL, ELEANOR, M.D. 1457534448 - CASTRICONE, DONNA, R.D. 1336426428 - BELL, JOSHUA, LMHC 1083636674 - FARINA, JOSEPH, M.D. 1255398129 - GLEASON, JAMES 1033175435 - LUCAS, PHILLIP, M.D. 1073596011 - CEREZO, CAROLINA, M.D. 1881633972 - WU, TONY, M.D. 1013991926 - KHURSHID, HUMERA 1114905718 - TOWN OF PORTSMOUTH RI 1336189661 - AARON, ROY 1063459774 - CARPENTER, CHARLES C, M.D. 1750678884 - RAY, REBECCA, O.D. 1790065829 - ENDRES, KIMBERLY, LMHC 1134556236 - FLORES, GINA 1215995097 - WEAVER, MICHAEL, M.D. 1295883965 - MIGNEAULT, JEFFREY, LP Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $6,762 $6,756 $6,751 $6,748 $6,747 $6,746 $6,733 $6,726 $6,724 $6,718 $6,716 $6,716 $6,714 $6,711 $6,711 $6,708 $6,702 $6,689 $6,673 $6,669 $6,657 $6,639 $6,638 $6,633 $6,631 $6,631 $6,630 $6,630 $6,626 $6,624 $6,618 $6,614 $6,614 $6,593 $6,587 $6,577 $6,577 $6,549 $6,547 $6,547 $6,547 $6,545 $6,543 $6,536 $6,536 $6,534 $6,520 $6,520 $6,516 $6,515 $6,514 $6,502 $6,502 $6,501 $6,499 $6,497 $6,489 $6,487 $6,483 $6,479 $6,478 $6,465 $6,459 $6,458 MedicaidManagedCare20160513.xlsx Page 53 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1255652681 - YALANIS, MOHINI, N.P. 1710961578 - BOERGERS, JULIE, LP 1184609422 - RUSSO-MAGNO, PATRICIA, M.D. 1538484134 - LAROSE, CHRISTINE, M.D. 1023039740 - AUMENTADO, DENNIS, M.D. 1508176090 - FREMPONG, MARGARET, M.S.W 1083682439 - EVANS, LARRY, M.D. 1861666539 - VANASSE, REBECCA, M.D. 1093777302 - TOOLE III, FRANK, P.A. 1235186735 - MOSS, STEVEN, M.D. 1811192321 - MIRAGAYA, JOANNA, M.D. 1457324758 - SARAZEN JR, ARNOLD, M.D. 1891929543 - SCHAFFRAN, KAREN, N.P. 1033488218 - KAVANAGH, ARLENE, P.A. 1073575544 - Psychotherapy Services Of R.I., Inc. 1831118223 - SALZILLO SHIELDS, SANDRA, LMHC 1477572816 - KUPERMAN-BEADE, MARINA, M.D. 1487788493 - BAGLEY, KEITH, LICSW 1588745491 - CHLIWNER, IRENE, M.D. 1740383389 - CRONIN III, CHARLES, D.O. 1013034016 - DENNY, LISA, M.D. 1083665921 - FENTON, JILLIAN 1407895048 - ESTEBAN, CYNTHIA, N.P. 1619096898 - Emma Pendelton Bradley Hospital (Lifespan) 1295831196 - BEAUDET, ROGER 1619934254 - SKOWRON, GAIL, M.D. 1518298272 - CEVALLOS ALOMIA, MARIA, M.D. 1457333619 - AKHTAR, ALI 1588684575 - DERUOSI, DAVID, O.D. 1205814357 - CARINO, GERARDO, M.D. 1023019403 - MENARD, TAMI, P.A. 1356315055 - KNOWLAN, MICHAEL, MD 1841464757 - ROSEN, ALAN, M.D. 1629218102 - DUTCHOVER TABARES, TAMMY, LCDP 1942359963 - EVANS, REBECCA, LP 1679568802 - EJNES, YUL, M.D. 1730482829 - ALMONACY, CYNTHIA, LMHC 1558511105 - KANE, BONNIE 1215108717 - FORLONEY, BARBARA, PCNS 1134104300 - LEE, SEOK 1609186337 - GURUNG, MANOJ, M.D. 1306159819 - WADDINGTON, ERICA, D.O. 1558336016 - BERMAN, ARNOLD, M.D. 1477796324 - SILVERMAN, LAURA, LMHC 1629254438 - JAMALI, MOHAMMAD 1386653343 - VANNIEUWENHUIZE, MICHELLE, M.D. 1568421097 - DAY, PATRICIA, LMHC 1790087229 - Child, Inc. 1588763163 - BARLOW REHABILITATION INC 1649323767 - LEVIN, SUSAN, LICSW 1609820026 - FLANAGAN, PATRICIA, M.D. 1013930536 - RIVERA, DAVID, M.D. 1891772620 - LANG, THOMAS, M.D. 1730466160 - PATRY, KIERAN, LCDP 1952531865 - EPSTEIN, ANDREA, LICSW 1457349904 - CASTALDI, MICHAEL 1649278250 - ROGER WILLIAMS HOSPITAL RADIATION ONCOLOGY 1700802675 - OH, WILLIAM 1093880148 - COMPREHENSIVE HEALTHCARE INC 1629371547 - JOYCE, THOMAS, LCDP 1073763504 - OZ, NITSA 1659358836 - GUPTA, RAJEEV, M.D. 1386069912 - SANDMAN, CARRIE 1821043795 - RATHORE, BHARTI, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $6,456 $6,450 $6,449 $6,444 $6,440 $6,437 $6,433 $6,429 $6,411 $6,407 $6,404 $6,396 $6,393 $6,391 $6,391 $6,389 $6,388 $6,381 $6,378 $6,376 $6,375 $6,372 $6,368 $6,364 $6,357 $6,356 $6,353 $6,349 $6,344 $6,342 $6,341 $6,341 $6,338 $6,330 $6,320 $6,312 $6,309 $6,309 $6,305 $6,299 $6,294 $6,292 $6,292 $6,291 $6,288 $6,288 $6,284 $6,282 $6,277 $6,269 $6,263 $6,261 $6,259 $6,255 $6,250 $6,243 $6,242 $6,241 $6,240 $6,238 $6,233 $6,225 $6,225 $6,224 MedicaidManagedCare20160513.xlsx Page 54 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1225086655 - JOHNSON, LENWORTH, M.D. 1134250715 - CHAUDHRY, MICHELE, LICSW 1326274937 - MEEHAN, KATHERINE 1376607168 - MARTIN, MICHAEL, D.O. 1972539377 - SCHANZER, LAKSHYAN 1417994542 - GOLDBERG, AMY, M.D. 1689667370 - BROUSSEAU PIZZI, DIANE, PCNS 1467429159 - SCHWARTZ, STANLEY, M.D. 1275541575 - PAOLINO, RONALD, LP 1932128295 - COOPER, SHAWN, LP 1114168853 - CHARLESTOWN PHYSICAL THERAPY AND HEALTH 1407876451 - GRIFFITH, KIMBERLY, LICSW 1669679106 - CLARK, LAURA E 1881811008 - WITHERBY, SABRINA, M.D. 1548462351 - SILVERSTEIN, JARED, M.D. 1003061144 - BARAF, KELLY, LICSW 1154385979 - WILLIAMS, KATHERINE, M.D. 1790086387 - MACCORMACK, JILL, M.A. 1881939726 - PAMELA CONNORS - WESTERLY 1750477576 - WRIGHT, ERIC, D.O. 1417253782 - DOOBAY, NATHALIA, D.P.M 1720280993 - MATOS, EMMANUEL, LMHC 1609903996 - DICKSTEIN, DANIEL, MD 1730185570 - BENNETT, DUDLEY, D.O. 1386709947 - WALDORF, GREG, O.D. 1013900638 - BLOCK, STANLEY, M.D. 1164406930 - NEILL, MARGUERITE, M.D. 1609909530 - BROWN, JULIE, LICSW 1033375829 - CARVALHO, JOHN, LP 1972647618 - HARRIS, MICHELLE, LICSW 1841481249 - BROKER SEN, RAJVI, MD 1750395349 - GREENBERG, BENJAMIN, MD 1639185689 - MARCACCIO, BETH 1184033417 - DELSOLE, SARAH, P.A. 1649291527 - ARCAND, DENISE, M.D. 1104237874 - CZECH, STEPHANIE, LP 1154691616 - SEPE, ERIN 1932129350 - ZANGARI JR, DOMINICK, M.D. 1245298553 - HALL, DANA 1730196403 - ISON, ELIZABETH, LICSW 1457391336 - HANNA, CYNTHIA, M.D. 1003869561 - CONGLETON, SARAH, N.P. 1659418671 - COVENTRY PRIMARY CARE ASSOC 1205840725 - WRIGHT, DAVID 1871574939 - CURRAN, MARY, A.U.D 1063638096 - WEISBORD, AARON, M.D. 1578502233 - Emma Pendelton Bradley Hospital (Lifespan) 1528123478 - CARTY, KATHLEEN, LICSW 1205154424 - SEVEN HILLS RHODE IS LAND, INC 1861406415 - DEAN, DAVID, LCDP 1740304559 - HECKART, KATHLYN, LICSW 1912977075 - GAINES, JEFFREY 1174684682 - BYRON, DEBORAH, LMHC 1578564845 - HUGHES, GABRIELE, PCNS 1588601512 - CHAPMAN, HEATHER, M.D. 1609886944 - GAUTHIER, RUTH, P.T. 1225082498 - MAUDE, JENNIFER, M.D. 1982616744 - SAFRAN, HOWARD, M.D. 1659603181 - Bairos, Teresa 1154487684 - DUCHARME, JOSEPH 1073836946 - MANSFIELD MARCACCIO, ABIGAIL, LP 1922039353 - LISS, MARCIA, LP 1356434401 - LAPENTA, JOSEPH 1336177799 - NOLL, JEFFREY Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $6,217 $6,217 $6,214 $6,194 $6,185 $6,183 $6,182 $6,182 $6,174 $6,169 $6,166 $6,163 $6,160 $6,155 $6,154 $6,151 $6,135 $6,129 $6,129 $6,126 $6,122 $6,120 $6,113 $6,111 $6,108 $6,107 $6,105 $6,101 $6,098 $6,096 $6,085 $6,084 $6,081 $6,081 $6,080 $6,078 $6,078 $6,077 $6,071 $6,062 $6,062 $6,058 $6,056 $6,055 $6,053 $6,049 $6,046 $6,044 $6,039 $6,031 $6,022 $6,021 $6,016 $6,015 $6,008 $6,006 $6,006 $6,003 $6,002 $6,000 $5,996 $5,995 $5,994 $5,987 MedicaidManagedCare20160513.xlsx Page 55 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1750326898 - ACHILLE, ANN, LCDP 1952356875 - CONNORS, PAMELA, M.D. 1730268285 - WAGDI, SAFA 1942259635 - MONTALTO JR, SAMUEL, O.D. 1548461296 - Cordis Counseling 1104836568 - BACON, ALVIN, D.O. 1316050776 - KALAIDJIAN, DAPHNE, LICSW 1457776452 - ELMHURST EXTENDED CARE FACILITY 1326074972 - THEROUX, JAMES, O.D. 1285794321 - GABRIELLE, YOLANDA, LICSW 1669408696 - MANDELBAUM, DAVID, M.D. 1467436915 - OLSZEWSKI, ADAM, M.D. 1215260104 - HIMES, SUSAN, LP 1326265174 - GRISI, MELISSA, LICSW 1225041361 - ESPAT, NOCIF JOSEPH, M.D. 1386628816 - MEDVE, ILDIKO, M.D. 1255433710 - ABRAMS, RONALD, LICSW 1265445969 - SIEGMUND, JULIE, P.T. 1760580864 - FERRARI IBELLE, CARLA, LICSW 1437331733 - ANDERSON, NICOLE, M.D. 1669889820 - ANDERSON, CHRISTOPHER, N.P. 1023164985 - RICHMAN, KELLY 1407882533 - RICHMAN, KATHERINE, M.D. 1063583383 - MUELLER, LISA, M.D. 1073799573 - GIEDRIMAS, ARNOLDAS, M.D. 1427280346 - ACCIARI, KRISTEN, LICSW 1609837707 - AL-YACOUB, MOTASEM, M.D. 1538184759 - COLLINS, BRADLEY, M.D. 1346274545 - DIIESO, SARA, P.T. 1396056271 - SOLITRO, MICHELLE, LMFT 1528109246 - ERVANIAN, KRISTIE, LMHC 1922203884 - KESSIMIAN, MARIANNA, MD 1790708469 - RICKETSON, MATTHEW, O.T.R 1952542599 - SMALL, AMY, LICSW 1851453385 - CRONIN, JOSEPHINE 1518922889 - FERRIS, DAVID, O.D. 1194857201 - DEPEYROT, JOELLE, LICSW 1548295942 - SCHWARTZ, HARRY, M.D. 1730348582 - FISHER, KATHRYN, LICSW 1649385535 - Gateway Healthcare, Inc. 1407087596 - DILALLO, MEAGHAN, LP 1629200183 - HEIG, NICOLE AURIA, C.N.M 1275557720 - CALENDA, CHARLES, M.D. 1134148950 - LANDRY, EILEEN, LICSW 1619273042 - WHELAN, TARA, D.O. 1457443236 - DOYLE, JANE, M.D. 1053478909 - LAWTON, CYNTHIA 1346221686 - PHILIPS, PHILIP, M.D. 1790961019 - WHELAN, KATHLEEN, LMHC 1215216734 - MEMOLI, SARAH 1881683985 - HERMAN, ARNOLD, M.D. 1881629665 - PEREIRA, JAMES 1972696003 - CURRAN, MELISSA, N.P. 1366469173 - LASALLE, NOLA, LMHC 1326047218 - MERNAN, ANDREA, MD 1063573764 - CHU, ANTONY, M.D. 1891125167 - WILDER, JAMI, LP 1588602692 - GUEVREMONT, DAVID, LP 1740418029 - ALBRIGHT, CATHERINE, M.D. 1134391113 - TENTE PHYSICAL THERAPY 1982694006 - BOTELHO, PAUL, M.D. 1073544490 - CHESTER, CHRISTINE, LICSW 1114073871 - BALDWIN, NORMAN 1023221272 - Gateway Healthcare, Inc. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $5,984 $5,970 $5,966 $5,962 $5,950 $5,949 $5,939 $5,935 $5,924 $5,914 $5,906 $5,904 $5,904 $5,904 $5,896 $5,894 $5,883 $5,879 $5,879 $5,877 $5,872 $5,868 $5,863 $5,859 $5,859 $5,856 $5,849 $5,848 $5,845 $5,844 $5,822 $5,821 $5,816 $5,816 $5,815 $5,813 $5,803 $5,800 $5,797 $5,792 $5,789 $5,788 $5,788 $5,788 $5,776 $5,773 $5,766 $5,763 $5,759 $5,759 $5,754 $5,738 $5,738 $5,735 $5,733 $5,728 $5,723 $5,717 $5,709 $5,700 $5,689 $5,684 $5,682 $5,679 MedicaidManagedCare20160513.xlsx Page 56 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1891863437 - Gateway Healthcare, Inc. 1366582819 - North American Family Institute Inc 1740323567 - ANDERSON, RUTH, LP 1215924063 - D'SOUZA, RIKHI, D.O. 1730126624 - BECKWITH, CURT, M.D. 1144244534 - DONAT, WALTER, M.D. 1063445005 - POTTER, ANN 1417224064 - MARKIEWICZ, KELLY, R.D. 1114950680 - MATTESON, KRISTEN, M.D. 1821049735 - MIRZA, EHSUN, M.D. 1841579281 - DZIEDZIC, MARY BETH, LICSW 1194941419 - QUESENBERRY, MATTHEW, M.D. 1669871919 - BLACKSTONE MASSAGE THERAPY CENTER 1205952389 - GREENLEE, ROBERT, M.D. 1215130034 - FEDEN, JEFFREY 1053375832 - YERNENI, MADHAVI, M.D. 1548301070 - ANGELILLO, SUSANNA, LMHC 1245478999 - AVEDISIAN, JENNIFER, N.P. 1134239767 - SHREVE, DANIEL 1861482630 - EAST GREENWICH FIRE DISTRICT 1831264571 - SILVER, BRIAN, M.D. 1992791958 - ALBANO, BRIAN 1801171897 - ALVITI, LAURIE, LCDP 1619963535 - ENQUIST, ERIK, M.D. 1700948080 - MACDONALD, KAREN 1366517666 - MILDER, LISA, D.O. 1386789345 - TEGAN, ELIZABETH 1316905540 - BLOOMENTHAL, AARON, M.D. 1588621643 - GALLAGHER, LISA, LP 1093015745 - JOHNSON, THYRA, P.A. 1255664181 - MARIORENZI, MARIA, P.T. 1215152780 - SOUTH COUNTY COMMUNI TY ACTION AGENCY 1649551094 - CINQUEGRANA, STEPHEN, P.T. 1245240613 - JARET, KATHE 1235164427 - GUARNACCIA, JOSEPH, M.D. 1982866596 - BEYER, CHRISTINA, M.D. 1366554420 - BLASBALG, MARK, O.D. 1942373279 - MCATEER, ALLISON 1487632634 - BUCKLEY, MARIA, LP 1972596575 - HOSMER, JENNIFER, M.D. 1659409647 - BEAUREGARD, BRENDA, LCDP 1952358533 - ASSOCIATED PHYS OF HMFP OF BIDMC INC 1962597336 - MOTTINGER, BARBARA, RN 1629182894 - GROCER, PAMELA, PCNS 1447264403 - CATONE, WILLIAM, LP 1700032109 - SHARMA, ANUSHRUTI SAPKOTA, M.D. 1053555664 - DR LAM DAO & ASSOCIATES INC 1164464772 - PELOQUIN, RICHARD, P.A. 1649290024 - DEROSA, MARY CATHERINE, M.D. 1114038155 - SIGMAN, MARK, M.D. 1689818999 - BRUNZOS, MARTHA, LMHC 1205875440 - LEHRACH, CHRISTOPHER 1528326022 - ORTHOCORE PHYSICAL THERAPY 1134192206 - DRAGOMIRE, DANIEL, M.D. 1225397342 - TYAGI, ROHIT, M.D. 1215900758 - ZUERNER, RICHARD, M.D. 1598766552 - FISCHER, BRUCE, M.D. 1013324250 - SAKONNET EYE CARE 1952338840 - YESS, JAMES, M.D. 1790975191 - AZAR, MAROUN, M.D. 1952519340 - MICHAEL J HAYDEN DO 1275597536 - GARDNER, REBEKAH, M.D. 1417009887 - PELHAM, CLAIRE, LICSW 1336312677 - CAVANAUGH, MEGHAN, LICSW Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $5,675 $5,672 $5,671 $5,657 $5,656 $5,654 $5,641 $5,640 $5,637 $5,604 $5,604 $5,594 $5,591 $5,583 $5,574 $5,573 $5,571 $5,564 $5,563 $5,559 $5,555 $5,551 $5,551 $5,550 $5,548 $5,541 $5,540 $5,538 $5,534 $5,525 $5,522 $5,521 $5,519 $5,501 $5,494 $5,490 $5,485 $5,482 $5,480 $5,474 $5,461 $5,455 $5,455 $5,448 $5,447 $5,443 $5,443 $5,440 $5,438 $5,435 $5,429 $5,426 $5,424 $5,422 $5,421 $5,421 $5,418 $5,406 $5,404 $5,401 $5,396 $5,396 $5,386 $5,386 MedicaidManagedCare20160513.xlsx Page 57 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1972680189 - BUXTON, CYNTHIA, R.D. 1013109891 - BILODEAU, COURTNEY CLARK, M.D. 1760809974 - BERG, DIANNE 1922169648 - OAKLEY, JANET 1043238652 - CRAWFORD, CRAIG, LICSW 1033427398 - PARK MEDICAL ASSOCIATES N. SMITHFIELD 1285620138 - AUSTIN, GREGORY, M.D. 1104222678 - FLETCHER, JENNIFER 1457471344 - POTTER, NICHOLAS, M.D. 1821074568 - COOPER JR, GEORGE, M.D. 1225034077 - GODDARD, JOAN, M.D. 1306813985 - RICHARDS, CHRISTINE, LICSW 1083930002 - GUERTIN, NANCY, LICSW 1538345517 - POIRIER, SHEILA, LMHC 1780024554 - DANELLA, MATTHEW, P.A. 1215917299 - WILKEL, CAROLINE, M.D. 1184766867 - KNOLL, BETTINA, M.D. 1669600920 - GOTHA, HEATHER, M.D. 1750311528 - FOX, SARAH, M.D. 1720243157 - Brown, Holly 1487708202 - PIN, RICHARD, M.D. 1700920022 - AMDUR, HENRY, M.D. 1194935072 - PATERSON, MURIEL 1023132099 - MANCINI, MELVIN, D.P.M 1144306721 - DROGIN, JEFFREY 1346269875 - NOWICK, ALAN 1770520090 - LALLY, EDWARD, M.D. 1659489060 - BRENNAN, HERBERT 1154570844 - KEELEY, BROOKE 1447305636 - WISHIK, JEFFREY, M.D. 1528031804 - WATSON, EDWARD, M.D. 1396897989 - GALE, DEIRDRE, LMHC 1942210075 - FLIKIER, HENRI 1083697551 - LEVEILLEE, CHARLENE, LICSW 1225055122 - MC VAY, JEREMY, P.T. 1922088020 - Gateway Healthcare, Inc. 1790704260 - WEISBLATT, STEVEN 1811984404 - TOWN OF TIVERTON RESCUE 1881600153 - TARNOFF, GERALD, MD 1508800954 - KOYFMAN, LILIYA, M.D. 1861529158 - SOLOMON JR, JOHN, D.O. 1205893229 - GROSS, STEPHEN, M.D. 1689749822 - GENTILESCO, BETHANY, M.D. 1912992645 - MIGLIORI, SIDNEY, M.D. 1871814913 - PRATT MEDICAL GROUP INC 1568501377 - SAAL, KAREN, M.D. 1679518625 - Post, Gary, DC 1184807729 - RUBIN, LEE, M.D. 1245220268 - COHEN, STEVEN IRA, M.D. 1669513719 - HOUDE, ELIZABETH, LMFT 1275507147 - MARTINO, MICHAEL, P.A. 1740222744 - REEDER, LAURIE BETH, M.D. 1518973957 - SAWICKY, CYNTHIA 1386086403 - DEVOE, SARAH, LMFT 1467713339 - Sabins, Meredith, AC 1922376995 - KING, AMY ELIZABETH, R.D. 1487609244 - CU-UVIN, SUSAN, M.D. 1730589797 - BEYER, FALLON, P.A. 1457337776 - CHELMINSKI, IWONA, LP 1316055197 - PERRY, KIMBERLY, LICSW 1316005465 - HOFFMAN, PAUL 1558390914 - HARDY, ERICA, M.D. 1356342323 - DENNISON, ALLEN, M.D. 1407832595 - VACCA, VINCENT, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $5,383 $5,378 $5,369 $5,364 $5,361 $5,361 $5,357 $5,357 $5,345 $5,345 $5,341 $5,337 $5,337 $5,336 $5,336 $5,334 $5,333 $5,328 $5,328 $5,319 $5,311 $5,307 $5,297 $5,283 $5,280 $5,279 $5,278 $5,273 $5,271 $5,271 $5,264 $5,259 $5,259 $5,252 $5,249 $5,245 $5,240 $5,239 $5,233 $5,231 $5,224 $5,223 $5,219 $5,215 $5,214 $5,213 $5,211 $5,211 $5,211 $5,208 $5,207 $5,205 $5,204 $5,202 $5,197 $5,180 $5,177 $5,177 $5,169 $5,168 $5,164 $5,163 $5,160 $5,156 MedicaidManagedCare20160513.xlsx Page 58 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1699811059 - RHODE ISLAND BLOOD CENTER 1184699886 - SAMALE, JILL, M.D. 1679794390 - KIRSTEN M W HEALY OD DBA SAKONNET EYE CARE 1073575049 - HENSELER, LAURA, M.D. 1477516912 - CAPALBO, ROBERT, M.D. 1184848558 - Miriam Hospital (Lifespan) 1356349518 - MINER, THOMAS, M.D. 1144250747 - WALDMAN RICH, BEVERLY, PCNS 1336188077 - GUARINO, KATHLEEN, N.P. 1548362320 - BATTY, KRISTINE, N.P. 1689899734 - GRENIER, NICOLE, M.D. 1144306986 - KING, PAULINE, LMHC 1346264256 - FRANK, ANN 1407873078 - DEORSEY, JOSEPH, R.P.T 1649243981 - East Bay Center, Inc. 1609170422 - SARAIVA, KATIE, LICSW 1942242888 - STRICKLAND, JUDITH 1427255371 - O'ROURKE, MEG MARIE, R.D. 1619975802 - FRAPPIER, LISA, DO 1104823772 - EARP, RALPH, M.D. 1467459263 - RATHORE, RITESH, M.D. 1629365093 - FEUCHT, NICHOLAS RYAN, O.D. 1114143997 - MAVRICH, KATE, M.D. 1194006338 - ALBERT, LINDSEY, M.S. 1235563842 - BEAUDRY, LAURA, LICSW 1083652408 - BROZA, DAVID, M.D. 1992835177 - LOZY, JOANNE 1114969508 - BIEN, DANIEL, P.T. 1821255035 - RAMOCKI, MELISSA, M.D. 1912901869 - FREEDMAN, STEVEN, M.D. 1669787073 - OBARA, KATHERINE, N.P. 1538279880 - MANOWN, TIMOTHY, M.D. 1821002890 - COONEY, RACHEL, LICSW 1790725919 - RUBENSTEIN, LOUIS, M.D. 1265874614 - MARZULLO, ASHLEY, LMHC 1417094061 - BANNER, KATHRYN KONCSOL, M.D. 1770754830 - BERNARD, JAIME, LMHC 1013096189 - SIKOV, SUSAN 1548476310 - KITTLER, KARIN 1558344085 - COSGROVE, CHRISTOPHER, M.D. 1912972753 - ARENA, ANDREA, M.D. 1336298561 - CARUOLO, ANNA, LICSW 1952328791 - MORRISON, COLLEEN, P.A. 1790823912 - CORRIGAN, FRANK, LICSW 1184793226 - GUIDONE, PAUL, MD 1811077811 - PAOLUCCI, IWONA, M.D. 1063460426 - AHMAD, IRFAN, M.D. 1306870472 - VENDITTO, JACKALYN, LICSW 1164761003 - FINK, LINDSAY, P.A. 1639195191 - BRENNAN, CONSTANCE, M.D. 1669499182 - DEANGELIS, DONNA, LICSW 1760422018 - HOWARD, ELEANOR 1144236852 - KELLY, SARAH, PALME 1720017924 - DEGLI ESPOSTI, SILVIA, M.D. 1063829950 - WYNN, DANIKA SEVERINO, C.N.M 1669586533 - STALTERS, GRETCHEN, R.D. 1982034807 - LAMONTAGNE, RENEE, LMHC 1033163209 - DURKIN, DEBORA, N.P. 1871656611 - GUILLETTE, BARBARA, M.D. 1023009404 - BRASCH, PETER, M.D. 1700915188 - RASMUSSEN, FRANCES, M.S. 1386791481 - BYRNE, LIZABETH, LICSW 1053394098 - SHARIF, UZMA, M.D. 1538299904 - VILLAVICENCIO, ANNA, LP Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $5,155 $5,150 $5,145 $5,139 $5,137 $5,130 $5,128 $5,126 $5,116 $5,111 $5,103 $5,098 $5,098 $5,094 $5,094 $5,092 $5,089 $5,088 $5,088 $5,087 $5,086 $5,083 $5,070 $5,068 $5,067 $5,067 $5,066 $5,063 $5,060 $5,055 $5,052 $5,042 $5,038 $5,037 $5,036 $5,032 $5,030 $5,023 $5,022 $5,016 $5,016 $5,014 $5,009 $5,008 $5,000 $4,997 $4,997 $4,995 $4,991 $4,991 $4,990 $4,985 $4,981 $4,965 $4,962 $4,954 $4,953 $4,953 $4,950 $4,947 $4,945 $4,942 $4,942 $4,931 MedicaidManagedCare20160513.xlsx Page 59 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1063577526 - BROWN, LUCY, MD 1902132517 - MATWIJOW, MAGDALENA, P.T. 1417072125 - CAMERATO, MELANIE, LCSW 1861478620 - BOIVIN, LORI, O.D. 1578549960 - HADLEY, WENDY, LP 1063497576 - MCCOOL, FRANKLIN, M.D. 1851568000 - BERT, TERESA CATHERINE, N.P. 1356486971 - EDDY, LEIGH, N.P. 1730140864 - MARCOUX, DAVID, M.D. 1275528903 - SINGER, IRA, M.D. 1831201839 - DICECCO SR, DAVID, M.D. 1952406332 - DUBOIS, GERET, M.D. 1235205485 - DICHIARA-PASTORE, LOUISE, O.D. 1013239607 - O'DONNELL, STEPHANIE, R.D. 1457318834 - TANEJA, CHARU, M.D. 1508817180 - HESSION, LORRAINE, LMHC 1417947847 - KORN, STEPHEN 1548332257 - OCEAN STATE PRIMARY CARE LLC 1124335997 - MAHONEY, KEVIN, P.T. 1689962565 - DURAND, JAMIE 1114120078 - GRISWOLD, JOY, M.S. 1184910481 - PETERS, CHRISTOPHER, M.D. 1831116896 - SIENA, SANTINA, M.D. 1770837817 - DIABETES CARE SOLUTION 1346399516 - TANDON, RAVI, M.A. 1497764997 - CONNELL, MICHAEL 1124187547 - ALLERGY SPECIALISTS OF SOUTH COUNTY 1134337892 - BEHERA, VIKRAM, M.D. 1346202884 - HERBERT, CHRISTINE, M.D. 1669652012 - ZELLER, JOHN, P.S.Y 1952372815 - NEWTON, CHRISTOPHER, M.D. 1942225610 - TOBACK, NEIL, M.D. 1336382191 - HUTCHINS, BRANDEE, LMHC 1215963624 - AUGUSTO, FERNANDO, LP 1245227768 - SCHOENFELD, LARRY, M.D. 1386785830 - Northern Rhode Island Community Mental Health Cent 1801831920 - CASHORE, WILLIAM, M.D. 1295834323 - Gateway Healthcare, Inc. 1245264688 - BARRETT, JOHN 1013960582 - HOUTCHENS, JEANNE, N.P. 1730299454 - GINSBERG, SUSAN, PCNS 1063432755 - DAVIS, JOSHUA, LMHC 1275616088 - SILVERBLATT, FREDRIC, M.D. 1033240726 - DELCONTE, EMILY 1871559807 - O'LEARY, JOHN, D.O. 1477721967 - TONG, EVAN, O.D. 1992892863 - WILLIAM A ALLEN CO INC 1972780583 - DOMENICO, JOSEPH 1780752006 - STERN, DAVID, LICSW 1437299955 - BURDETTE, NELLY, LP 1558391979 - MCCONAUGHY, EDITH 1801032941 - GARGES, KALI, R.D. 1598860389 - MEROLLI, ALISA, M.D. 1558529875 - BERGLUND, KRISTINA, M.D. 1619210911 - SILVA, APRIL, L.P.C 1982780433 - SURDUT, SCOTT, O.D. 1205029485 - MOLINA, ROSE, LICSW 1467774414 - COOK, KIMBERLEY 1922017045 - VIGLIANI, MARGUERITE 1326180928 - SMITH, RACHAEL, LMHC 1033324355 - RAINEY, JESSICA, LICSW 1619932282 - MEHTA, AVANISH, M.D. 1144303744 - WICKFORD INTERNISTS INC 1104131861 - FREEMAN, MICHELLE, LICSW Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $4,929 $4,929 $4,927 $4,925 $4,921 $4,921 $4,917 $4,913 $4,904 $4,901 $4,898 $4,896 $4,894 $4,892 $4,890 $4,889 $4,888 $4,886 $4,884 $4,883 $4,878 $4,875 $4,871 $4,867 $4,867 $4,863 $4,861 $4,856 $4,854 $4,853 $4,851 $4,844 $4,839 $4,838 $4,838 $4,835 $4,834 $4,827 $4,825 $4,821 $4,815 $4,814 $4,811 $4,806 $4,800 $4,798 $4,797 $4,792 $4,788 $4,787 $4,784 $4,784 $4,776 $4,775 $4,772 $4,771 $4,761 $4,754 $4,750 $4,741 $4,739 $4,739 $4,737 $4,736 MedicaidManagedCare20160513.xlsx Page 60 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1629271721 - FREEMAN, DONNA 1710904719 - MANOCCHIO, ANTHONY 1992790018 - WINTERS, JEFFRY, M.D. 1043452337 - KHAN, MUHIB, M.D. 1881772929 - PALAZZO, ADELE, RN 1578724985 - D'SOUZA, AMY 1790863785 - SAYEED, SYED 1447404215 - INTERNAL MEDICINE PARTNERS PRIMARY CARE 1932164969 - HEBEL, GLENN 1750334728 - HART, ROBIN, N.P. 1891091054 - KNIGHT, CAROL, LICSW 1366630576 - AMIR ALIZADEH, MD INC. 1053464990 - DEMPSTER, MARTHA, LICSW 1568479046 - KATZ, JERALD, M.D. 1992823132 - KOSSEFF, PAMELA, LICSW 1184887283 - JHA, PRANATI, M.D. 1902890197 - CLYNE, AILIS, M.D. 1568780609 - SILVER, REBECCA, LP 1821104548 - MULLEN, MICHAEL, M.S. 1679691513 - CHEPACHET FIRE DEPARTMENT 1861487951 - RYTER, RICHARD, M.D. 1396731097 - VELAZQUEZ, LEONARDO, M.D. 1306803648 - ZERVOS, JOHN, D.P.M 1962500439 - KRAUSS, DENNIS, M.D. 1780635581 - SZABO, JAMES, LICSW 1285070383 - ACKMANN, NINA, LICSW 1932241239 - ROCCHIO, LISA, LP 1205919529 - BARRAZA, ANGEL, LCDP 1790815157 - SANDOVAL, JOB 1801988647 - HART, TIMOTHY, D.P.M 1457653081 - BREYTMAN, EDUARD, N.P. 1538328166 - SHAH, ASHISH, M.D. 1467589382 - Robert A. Walker & Associates, Counseling and Cons 1508192832 - DESAULNIERS, RENEE, LMHC 1427153733 - AMSTER, PATRICIA, LCDP 1538477708 - Perspectives Corporation 1114075272 - STRAUB, REINHARD, LICSW 1518272905 - GARDNER, JANICE, O.D. 1942310594 - HUBBARD, DENISE, C.N.A 1184942930 - PRIMARY CARE OF BARRINGTON LLC 1356533772 - TURNER, VERONICA, LMHC 1700987351 - CRUZ, CATHERINE, LICSW 1063586295 - SOMMERVILLE, LYNN, M.D. 1508818964 - STAGER, SHARON, N.P. 1285668681 - Gateway Profesional Group, Inc 1942298674 - DELGUERCIO, PAUL, M.D. 1770849242 - BENITO, KRISTEN, LP 1780633081 - SIMOES, JOHN 1952463986 - FREESS, JAMES, LP 1821085267 - QUINN, MARGUERITE, O.D. 1245211788 - GASPER, MASON, M.D. 1205813615 - LIDDLE, ALFRED, P.A. 1326243866 - D'SA, VIREN, M.D. 1548393945 - ALFIERO, THOMAS 1619060480 - WEPMAN, BARRY, M.D. 1104883123 - BLAKE, DOUGLAS, M.D. 1306887856 - ATTAR, JESSICA, N.P. 1528010584 - THURBER, EARLE, LICSW 1912944174 - SILVERSMITH, WENDY, M.D. 1265438709 - FINGLETON, JAMES, M.D. 1407852155 - LEACH, RICHARD, D.O. 1609936137 - DAO, LAM, O.D. 1407929169 - LEVIN, GREG, O.D. 1588995005 - ANDERSON, SHELLEY, O.T.R Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $4,735 $4,733 $4,731 $4,731 $4,730 $4,723 $4,716 $4,714 $4,710 $4,710 $4,708 $4,703 $4,701 $4,699 $4,697 $4,697 $4,693 $4,689 $4,672 $4,671 $4,671 $4,669 $4,665 $4,661 $4,651 $4,646 $4,640 $4,637 $4,635 $4,634 $4,630 $4,630 $4,630 $4,627 $4,627 $4,624 $4,622 $4,620 $4,619 $4,618 $4,615 $4,614 $4,607 $4,604 $4,603 $4,599 $4,593 $4,586 $4,586 $4,582 $4,581 $4,580 $4,577 $4,573 $4,563 $4,562 $4,560 $4,557 $4,556 $4,553 $4,549 $4,548 $4,541 $4,533 MedicaidManagedCare20160513.xlsx Page 61 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1114944006 - PANNEERSELVAM, USHA 1144208299 - DAOUD, EHAB GAMIL, M.D. 1518003904 - RISPOLI, KATHERINE, O.D. 1497157572 - MAZZA, GLORIA, N.P. 1164568531 - RISPOLI, ALESSI 1104906395 - MONTELLA JELLEY, SUSAN, LICSW 1316986896 - CARLSON, PATRICIA, N.P. 1477589562 - BOWMAN, KEVIN, M.D. 1942282504 - DYER, ELIZABETH 1083812226 - O'NEILL, MEG, P.T. 1932504479 - RAPONE, FRANK 1609934603 - EXETER RESCUE CORP INC 1346686102 - RUSKOWSKI, AUDREY, N.P. 1114003209 - GILMORE, JUDITH, M.D. 1629265103 - MCKEAG, AMARYLLIS, R.D. 1972566644 - MCCORMICK, JAMES, D.P.M 1245247089 - NAUGHTON, WILLIAM 1376651935 - WARNER DE MONTOYA, PAMELA, LMHC 1508916982 - GLATTER, MYLES 1942205331 - CROTTY, MAUREEN, M.D. 1275520678 - FRIED, DAVID, M.D. 1831251545 - Butler Hospital (Care New England) 1326013913 - SAAL, ANDREW, M.D. 1487059895 - SINEL, MEREDITH, P.H.D 1730228586 - Family Associates 1457316259 - SYLVIA, SCOTT, O.D. 1366770281 - WHARTON, MARY, M.A. 1003982547 - HERITAGE MEDICAL ASSOCIATES 1821122599 - LEVY-LACHANCE, AUDREY, P.A. 1629103742 - FOSTER AMBULANCE CORPS 1467485524 - CHARIS CENTER SOUTH INC 1871641035 - DEALY, KEVIN, LICSW 1447560487 - PINKSTON CAMP, MEGAN, LP 1104937697 - SOUTHCOAST VISITING NURSE ASSOCIATION IN 1982036737 - MEDEIROS, MATTHEW, P.T. 1427079086 - GONZALEZ, ENRIQUE 1790713410 - EHRLICH, LAWRENCE, M.D. 1285726620 - PASCALIDES, JAMES, D.P.M 1861427064 - RENAUD, DUSTIN, P.T. 1487643565 - JOSEPH-DELVECCHIO, JANE 1235389537 - MALIK, AISHA, M.D. 1225312168 - DUPREY, ROBERT 1093832933 - MELLO, IRIS 1518367937 - RHODE EYELAND LLC 1437232246 - HAWORTH JR, CLYDE, O.D. 1417108523 - BESSETTE, SCOTT 1851314637 - SCHMIDT, PATRICIA, N.P. 1376874057 - FRENCH, PATRICE, N.P. 1124060397 - SERRA, RONALD 1649675323 - MCGINN, JANE 1083829774 - MITTA, SRILAKSHMI, M.D. 1558396804 - MORENO TOSTE, TERRY, P.T. 1184052185 - NESTOR PHYSICAL THERAPY 1265779342 - CHICKABALLPUR NARAY, AJITH, M.D. 1952396822 - BRIN, STEVEN, M.D. 1801991435 - GOLDEN, DAVID, D.P.M 1639123847 - KRUPP, BRANDON, MD 1013953439 - SCHWARTZWALD, JACK, M.D. 1477712057 - NUGENT, KARA, M.D. 1033109236 - SLATTERY, JOHN, M.D. 1295764660 - SHILKO, KATHLEEN, R.D. 1548336092 - SCHNEIDER, MARK 1114078557 - WHITMAN RAYMOND, ROBERT, LICSW 1477549632 - FRIEDMAN, JOSEPH, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $4,530 $4,525 $4,521 $4,521 $4,509 $4,507 $4,505 $4,504 $4,503 $4,497 $4,493 $4,492 $4,490 $4,482 $4,481 $4,478 $4,458 $4,456 $4,453 $4,452 $4,448 $4,447 $4,443 $4,441 $4,439 $4,436 $4,433 $4,432 $4,430 $4,430 $4,428 $4,427 $4,420 $4,420 $4,419 $4,413 $4,405 $4,403 $4,397 $4,391 $4,391 $4,385 $4,380 $4,376 $4,367 $4,362 $4,359 $4,345 $4,344 $4,343 $4,339 $4,335 $4,328 $4,328 $4,326 $4,326 $4,313 $4,312 $4,310 $4,309 $4,302 $4,301 $4,301 $4,295 MedicaidManagedCare20160513.xlsx Page 62 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1720019045 - VNA OF RHODE ISLAND 1801189683 - ERSKINE, ARTHUR, LMHC 1093734204 - WIGGINS, DOREEN LEYDEN, M.D. 1164435491 - CHRISTIAN, JEFFREY, M.D. 1255466314 - GIESEKE, KAREN, P.H.D 1649444944 - HMADEH, MOHAMMADYASSIN, M.D. 1962440271 - SHEA, BARRY, M.D. 1134195043 - REGINATO, ANTHONY, M.D. 1528115565 - GATEWAY HEARING - EP 1609863125 - KUPCHAN, AUDREY, M.D. 1215175211 - CATANA, MARIA-ANDREEA, M.D. 1689961591 - MARSH, MICHAEL, M.D. 1194831925 - IJAZ, AMBREEN, M.D. 1104134113 - MOORE, JOANN, N.P. 1194769539 - ANDERSON, LAURIE, F.N.P 1467619544 - SUMMERS, SHAUNA, LP 1730362971 - MONIZ, STEPHANIE, LICSW 1811937907 - ROACH, RACHEL, N.P. 1740201854 - TILMAN, KERI 1891720165 - COEN, JOHN, M.D. 1942432612 - KNAPMAN, DEBORAH, LICSW 1134362650 - OSTER, CAROL, LP 1700827151 - STEMP, RUTH, MD 1982695664 - RUENGER, THOMAS, M.D. 1891970836 - RICHARD ZIENOWICZ 1336136894 - DEFREITAS, CARLOS, O.D. 1326190422 - MULVANEY, SARA, LMFT 1366543225 - ADDO, ABENA, M.D. 1457542805 - RAZA, SYED, MD 1205858560 - MAHONEY, EMMY, M.D. 1053734871 - HARVEY, KIRSTIN, P.A. 1790707800 - FRISSELL, JEREMY, P.A. 1073876256 - CORBETT, PATRICIA, LICSW 1922400100 - SOUTHERN RI PULMONARY AND CRITICAL CARE 1497097646 - FLANNERY SCHROEDER, ELLEN, LP 1851675763 - KAPLAN, JESSICA, LICSW 1306917521 - FORTUNA SILVA, MARY, N.P. 1184834434 - HEALING CHOICES 1164522405 - VOGEL, BENJAMIN, M.D. 1700919545 - MARCHETTI, LINDA, LICSW 1760531933 - NELSON, REBECCA, LMFT 1104147198 - WU, EDMUND, M.D. 1851686927 - LUO, LUGUANG 1184957482 - MATTISON, ALLISON, LP 1942321443 - KURTZER, SHARON, LICSW 1306035779 - BARRINGTON FAMILY MEDICINE 1962474684 - SUCSY, ROBERT, M.D. 1306261706 - SHUMAKER, ERIK, LP 1609985886 - MAYERS, LISA, LICSW 1114948700 - SWINK, KATHY 1497993125 - CHAMBERAS, PAULETTE, LMFT 1467536805 - GAGNER, MARGARET, N.P. 1275793044 - KATZ, STEVEN, M.D. 1013987353 - NASIN, CHRISTOPHER, M.D. 1508998659 - ST JUDE HOME CARE INC 1043544885 - DONAHUE, JOANNE, N.P. 1689876856 - FIGUEIRA, RICHARD, LICSW 1164598975 - MCCARTHY, LYNN, LICSW 1447217641 - LADETTO, JOHN, M.D. 1801038021 - FUNKENSTEIN, AMY, MD 1558478032 - PARZIALE, JOHN, M.D. 1225099732 - BONI, GUERRINO 1770594947 - HEIN, MICHAEL, M.D. 1861511214 - MANZO, GINGER Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $4,295 $4,294 $4,287 $4,279 $4,278 $4,268 $4,267 $4,252 $4,247 $4,243 $4,239 $4,239 $4,237 $4,230 $4,229 $4,228 $4,221 $4,213 $4,212 $4,212 $4,200 $4,199 $4,198 $4,198 $4,195 $4,194 $4,194 $4,192 $4,192 $4,189 $4,183 $4,175 $4,168 $4,166 $4,163 $4,161 $4,157 $4,155 $4,155 $4,155 $4,153 $4,150 $4,148 $4,143 $4,139 $4,136 $4,135 $4,134 $4,133 $4,132 $4,131 $4,128 $4,128 $4,122 $4,120 $4,116 $4,115 $4,111 $4,108 $4,100 $4,098 $4,091 $4,091 $4,090 MedicaidManagedCare20160513.xlsx Page 63 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1467625566 - CORNEAU, GERARD 1487693453 - AHAVA, LISA, P.A. 1033397922 - ANDRUCHOW, MARGARET, PCNS 1629360755 - SMITH, PAULA, LICSW 1306174412 - GROTE, EMILY, P.A. 1366670283 - BLANCHARD, KERETH, O.T.R 1427190875 - LEVIN, ROBERT, LICSW 1386708923 - GRANDE, KAREN, M.D. 1326122557 - St. Joseph Health Services Of RI 1144267154 - BARRON, CHRISTINE, M.D. 1154368934 - FERREIRA, PAULA, N.P. 1972651677 - GILEK-SEIBERT, KATARZYNA, M.D. 1699977744 - HARISARAN, VINCENT, M.D. 1508950924 - NAGER, MARTIN, D.M.D 1740236173 - ANDERSON, KRISTIN, M.D. 1689631699 - LEDDY, THOMAS, M.D. 1184685760 - WHELAN, JANE 1477765840 - DASKALOPOULOS, LINDSAY 1063590941 - WATERMAN, NANCY, D.P.M 1518018811 - CANCHIS, P WILFREDO, M.D. 1104262203 - WEBB, CHELSEA CAROLINE, C.N.M 1972920585 - ALMOND FRIAS, MASSIEL, LMHC 1730176306 - VANHEMELRIJCK, CHRISTOPHER, M.D. 1174741656 - GREENE WELCH, JENNIFER 1639111271 - GINSBERG, LAWRENCE, O.D. 1659513869 - JAKHRO, MAZHAR, M.D. 1114051794 - HARRISVILLE FIRE DISTRICT 1861447765 - JONES, JOHN, LP 1528012747 - HANDA, SAJEEV, M.D. 1457516254 - DE CARVALHO MELO, HAROLDO 1932338951 - PERKINS BANAS, MELISSA, LP 1285752139 - HARMONY FIRE DISTRICT 1962439612 - CHAFFEY, JOHN 1417132549 - PETTERUTI FAMILY PRACTICE INC 1720206568 - CARRUTHERS, THOMAS, M.D. 1770646879 - DAVIDGE, ANNE 1023178829 - BYHOUWER, GLENDA, M.S. 1639194517 - CIOSEK, EDMOND, LICSW 1386799260 - RIBIZZI-AKHTAR, IOLE, M.D. 1265427009 - LOMBARDI JR, ANTHONY, M.D. 1942474895 - PHILIPS, BINU, M.D. 1356765846 - VOYTAS, CYNTHIA, C.N.M 1124258017 - TEWARY, GEETIKA, M.D. 1780726059 - GREEN, SHARL, PCNS 1376561357 - LINDBECK, JOHN 1750348587 - WITTELS, EDWARD, M.D. 1033356787 - CARLOW, CHRISTOPHER 1093754624 - FLYNN, PATRICIA, N.P. 1730345679 - MONTMINY DANNA, MARY, LICSW 1548258635 - HARONIAN, HOWARD, M.D. 1437429214 - Ferreira, Lisa 1326003674 - MONTAQUILA, STEPHEN, O.D. 1407992704 - BURROWS, ROBIN, LMHC 1952401978 - YOUNG, HEIDI, O.D. 1760666911 - ANDRADE, CHERYL, LMHC 1609056712 - MELVIN MANCINI DPM 1528072279 - BRADSHAW, LEE, LCDP 1649439936 - EBERT, KERRY, O.T.R 1982834313 - ALANG, NEHA, M.D. 1487614251 - MUNRO, DUGALD, M.D. 1396771937 - FERA, STEVEN, M.D. 1841296597 - HENDERSON, KATHLEEN, M.D. 1477699684 - PHILLIPS, WENDY, LMFT 1275655946 - WELITOFF, NORMA Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $4,085 $4,084 $4,082 $4,076 $4,075 $4,072 $4,071 $4,068 $4,066 $4,064 $4,064 $4,061 $4,057 $4,054 $4,050 $4,044 $4,040 $4,037 $4,033 $4,033 $4,032 $4,031 $4,028 $4,025 $4,022 $4,019 $4,019 $4,012 $4,006 $4,003 $3,987 $3,985 $3,977 $3,974 $3,972 $3,970 $3,967 $3,965 $3,963 $3,963 $3,962 $3,960 $3,956 $3,951 $3,944 $3,943 $3,943 $3,935 $3,932 $3,920 $3,916 $3,912 $3,906 $3,905 $3,903 $3,901 $3,896 $3,895 $3,883 $3,877 $3,873 $3,872 $3,870 $3,870 MedicaidManagedCare20160513.xlsx Page 64 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1336144856 - BISWAS, ARYA, P.A. 1477551992 - QUESENBERRY, PETER, M.D. 1457426504 - KOCH, DOROTHY, O.D. 1902854953 - FAIN, ELAINE, M.D. 1174878003 - SIMMONS, RACHEL, LP 1003853268 - FOX, ROBERT, M.D. 1215086988 - DELLA TORRE, LAURA, M.D. 1588983993 - ANDREA M DOYLE MD 1376803122 - GREATHOUSE, CHERYL 1205975349 - WILCOX, CYNTHIA 1427180397 - BEAUDREAU, THERESA 1518994342 - VAUGHN JR, ROBERT, O.D. 1235192956 - Zeng, Lili, AC 1497818231 - PHILIP, NOAH, MD 1831190594 - ROSS, JAMES, M.D. 1508849936 - HARRISON, MICHAEL, M.D. 1104983428 - HUSAIN, REEMA, MD 1326038779 - CUCU, DRAGOS, M.D. 1306271523 - OATLEY, KARIN, LMHC 1679539555 - RACETTE, GERALDINE, O.T.R 1033291570 - DENUCCI, THOMAS, M.D. 1497850499 - URI SPEECH & HEARING CENTER 1689661241 - CORCORAN, J RUSSELL, M.D. 1407884885 - MITCHELL, DENISE, LICSW 1801934310 - MORGERA, RICHARD, M.D. 1770563504 - SINGH, ARUN, M.D. 1629395710 - NORTH SCITUATE FIRE DEPARTMENT 1538187422 - STRENGER, ROCHELLE, M.D. 1154385441 - MORRISON, LUKE, P.A. 1952398653 - SHERMAN, CHARLES, M.D. 1295752160 - PONNAMREDDY, PRAVEEN, M.D. 1013031491 - DONNEL, JOANN 1891740189 - COSTEA, GEANINA, MD 1639391741 - CHARLTON, GEORGE, M.D. 1093712580 - BELHUMEUR, RICHARD, O.D. 1235183450 - GOPALAKRISHNAN, GEETHA, M.D. 1588848709 - GAINES, TYEESE, D.O. 1013141787 - Communities for People 1225097140 - NADEAU, CLAIRE, N.P. 1518911767 - KERMAN, KAREN, M.D. 1629397120 - FOURNIER, JOHN, M.D. 1306847256 - REUTER, RICHARD, D.P.M 1912965864 - JONES, ELAINE, M.D. 1003940156 - DE LUCA, ANTHONY JOSEPH, M.D. 1881735892 - CATE, CLARK 1568602712 - BEST, RACHEL 1083608194 - WHEELER, CAROL, M.D. 1336243369 - SHUGART, CYNTHIA 1134186067 - ETTENSOHN, DAVID, M.D. 1437446614 - SRIVASTAVA, ASHIMA, M.D. 1760667380 - GREGORZEK, SUSANNA, O.T.R 1154372191 - Counseling Resources 1790185841 - RUGGIERI-LIMA, KIMBERLY 1255428504 - MIRIAM HOSPITAL-PROF FEES 1396805925 - SIGMAN, JONATHAN 1427286608 - ANAVIAN, JACK, M.D. 1518394717 - LANCELLOTTI, PEGGY, LMHC 1790752384 - STEWART, RONALD, MD 1780624262 - MELLION, MICHELLE, M.D. 1124160445 - VOTTO, MARY LOU 1437176518 - BAXTER, KIMBERLY, LMHC 1023397619 - LEE, JONATHAN, LP 1851696140 - GARDNER, CHRISTINE, O.T.R 1710161922 - O MALLEY, LINDA, LMHC Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $3,867 $3,866 $3,866 $3,866 $3,862 $3,854 $3,847 $3,846 $3,844 $3,841 $3,839 $3,831 $3,830 $3,830 $3,826 $3,824 $3,821 $3,810 $3,807 $3,797 $3,789 $3,788 $3,783 $3,775 $3,774 $3,772 $3,771 $3,771 $3,770 $3,770 $3,769 $3,765 $3,764 $3,763 $3,762 $3,762 $3,760 $3,759 $3,757 $3,755 $3,755 $3,754 $3,753 $3,749 $3,748 $3,745 $3,744 $3,743 $3,743 $3,742 $3,741 $3,736 $3,732 $3,731 $3,727 $3,727 $3,727 $3,724 $3,722 $3,715 $3,714 $3,713 $3,709 $3,707 MedicaidManagedCare20160513.xlsx Page 65 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1780851857 - BAKER, LINDSAY 1992718134 - ZAMBROTTA, KAROLYN, C.N.M 1811940737 - BONEY, CHARLOTTE, M.D. 1336385491 - WINGFIELD, KATHRYN, LMHC 1487708640 - MICHAUD, ROGER, M.D. 1063662112 - FAWAD, UJALA 1912952284 - MESERVY, JARLE, MD 1205989282 - WILSON, CYNTHIA, LICSW 1942283841 - EATON, CHARLES, M.D. 1801915285 - CHICK, DEBORAH, LICSW 1487687984 - LARSON, LUCIA, M.D. 1992896146 - GILL, CHRISTINE, M.D. 1003940735 - CARD & INT MED ASSOC OF RI INC 1821103326 - LUKOWICZ, DANIEL 1942220850 - URIAN, KILEEN, P.T. 1053404004 - DEQUATTRO, RANA, LMHC 1780812388 - Perspectives Corporation 1528352424 - CAPITAL CITY COMMUNI TY CENTERS, INC 1932297769 - WHITEHEAD, DAWN, LMHC 1548381247 - COLUCCI, STEVEN, LP 1558553909 - GABORIAU, MARISSA, LICSW 1760574099 - LAMOUREUX, MICHELLE 1841230968 - RYAN, JOHN 1639122096 - UMASS MEM RAD PHY SVC FUND 1154371102 - GRIFFIN, JAMES 1659510584 - VERDIER, CLAUDE, LMHC 1639166655 - BOTELHO, DENNIS, M.D. 1609889419 - ROMANELLO, JOSEPH, M.D. 1750468179 - WILKIN, DIANNE 1487871927 - PAGGIOLI, DIANE, D.O. 1730239880 - PRETTYMAN, A YARDLEY, LICSW 1659465573 - MARGULIAN, SERGEI, M.D. 1386827889 - CARELINK INC INC 1184774200 - LAZIC-MAZLAGIC, BRANKICA, M.D. 1912015025 - BELLINO, JOSEPH, M.D. 1154603454 - SMITH, MARCIA, LP 1033380266 - SILK PHYSICAL THERAPY CENTER 1821168642 - MORENA, PATRICIA 1871581389 - BARRALL, DAVID 1770919375 - DEAN, KAREN, R.D. 1659337244 - MAGENDANTZ, HENRY, M.D. 1285691576 - SEGAL, KENNETH 1043382302 - PROCARE PHARMACY DIRECT 1043296916 - BREEN, ROBERT, LP 1285630947 - PAKULA, SUSAN, M.D. 1639126329 - SHAPTER, ANNE, M.D. 1407124175 - BUTLER HOSPITAL ALLIED MED SERV LLC 1316360381 - CAPOTOSTO, RITA, LMHC 1538185343 - PEARLSTEIN, TERI, MD 1154368454 - ROBINSON-BOSTOM, LESLIE, M.D. 1205994076 - JANAWAY, LYNN, RN 1548282890 - BARLOW, PATRICIA, N.P. 1497983654 - CASSIDY, HEATHER, M.D. 1053476150 - LIENGHOT, HAKIN 1134457989 - ANDREWS, JO ANN, LMHC 1508812165 - NOWAK, MARIOLA, M.D. 1992706139 - CHAQUETTE, RAYMOND, M.D. 1528207503 - LEONARD, RACHEL, LICSW 1548553787 - KHAN, NAUSHABA, M.D. 1003860172 - BALON, STANLEY 1962436618 - LANGER, MELISSA, P.A. 1770515215 - SAIDI, REZA, M.D. 1407144264 - RODA, DOMINIC, D.P.M 1619937166 - REIDY, SUSAN Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $3,706 $3,693 $3,669 $3,668 $3,662 $3,661 $3,660 $3,657 $3,656 $3,653 $3,653 $3,652 $3,650 $3,647 $3,647 $3,644 $3,643 $3,642 $3,639 $3,632 $3,624 $3,619 $3,617 $3,614 $3,612 $3,611 $3,611 $3,611 $3,608 $3,604 $3,601 $3,599 $3,593 $3,592 $3,589 $3,581 $3,580 $3,579 $3,578 $3,571 $3,562 $3,558 $3,552 $3,551 $3,543 $3,543 $3,542 $3,540 $3,537 $3,535 $3,526 $3,521 $3,519 $3,515 $3,513 $3,511 $3,511 $3,504 $3,504 $3,503 $3,495 $3,493 $3,488 $3,487 MedicaidManagedCare20160513.xlsx Page 66 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1184756199 - DUBOIS, CAROL, D.O. 1205154523 - DE LEON, LAUREN, M.D. 1336125988 - THE RIGHT CHOICE PT INC 1669405411 - SAURO, MARIE, LP 1770740649 - MITTAL, KRITI, M.D. 1649371493 - SIDDIQUI, AFREEN, M.D. 1093905945 - HOEFLIGER GALLO, CATHERINE, LP 1447554696 - BYRNE, CIARA, LP 1548205735 - BODKIN, SHEENAGH, M.D. 1528052677 - MONSOUR, MICHAEL, M.D. 1710069414 - ROMANO, DENNIS, M.D. 1407081953 - MACLURE, GINA, LMFT 1164831160 - BRUNO, NICHOLAS, P.T. 1093732174 - BATISTA, GRACE, LICSW 1083616148 - EID, IBRAHIM, M.D. 1902101975 - BALFOUR, JENNIFER, AC 1407854797 - KIM, ALICE, M.D. 1437287638 - LEINHAAS, MARIE ANNE, LICSW 1356786826 - BAKER, SHERA, M.S.W 1437377280 - GARCIA-TOCA, MANUEL, M.D. 1205143369 - BOYER, CHRISTINE, P.A. 1548295553 - RAMOS, PAUL, P.A. 1457551327 - MCARTHUR, GAIL, LICSW 1609861723 - STEVENSON, KAREN, M.D. 1609977420 - GREGORY, COLLEEN, LP 1326301565 - SILVIA, BRITTANY 1942288097 - MATHEWS, DONNAH, M.D. 1235286592 - WOODMANSEE, RUTH, LICSW 1841595816 - ERA, DAWNE, LICSW 1558416040 - HAHN, SUHDONG 1447242821 - ADAMOWICZ, MICHAEL 1780610170 - PLUCINSKI, PAMELA, RN 1144253519 - POWERS, MARTHA 1649254566 - LEVINSON, PAUL, M.D. 1962570648 - AMMAR, MAHA, M.D. 1871502526 - CARRO, LINDA, R.D. 1467881094 - MCGEE, MICHAEL, P.T. 1669500583 - SNIDER, MARSHA, LICSW 1598188732 - ALVES, MICHELLE, RN 1851311476 - BRENDEL, DEBRA, M.D. 1598943250 - SORIANO PISATURO, MARIA, M.D. 1831130558 - MADDEN ECHOLS, MARY, LICSW 1689818809 - SAAD, ALI, M.D. 1417918871 - ULLUCCI SPORTS MED/PT INC 1396797551 - ABUELO, JULIAN GARY, M.D. 1023223484 - HWANG, KATHLEEN, M.D. 1255337366 - HARDING, HALINA, D.O. 1609907708 - BERROL, ARLENE 1770510091 - MCNIECE, DONALD, M.D. 1043255680 - ASHER, MARILYN, LICSW 1336166412 - CRUZ, MILAGROS 1396740551 - TASHIMA, KAREN, M.D. 1982976775 - HOLLAND, JEDEDIAH, N.P. 1265539803 - BARTON JR, BUELL, LICSW 1124289541 - DEPAUL, JILLIAN, LP 1497789069 - WILSON, JULIE, LP 1295844793 - SABULA, ANN MARIE 1013938927 - BULLIS, DAVID, M.D. 1649378431 - WATERMAN, ELLIOT, O.D. 1790943751 - Communities for People 1780838565 - STONE, SHELAGH, LMHC 1568495885 - PHIPPS, MAUREEN, M.D. 1356583439 - CHANG, CAROLINE, M.D. 1689003386 - STURDEVANT, CHRISTINE, N.P. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $3,485 $3,483 $3,483 $3,480 $3,480 $3,476 $3,469 $3,464 $3,459 $3,458 $3,458 $3,455 $3,455 $3,454 $3,445 $3,438 $3,435 $3,428 $3,426 $3,426 $3,426 $3,422 $3,420 $3,412 $3,406 $3,397 $3,396 $3,394 $3,394 $3,392 $3,390 $3,387 $3,382 $3,380 $3,380 $3,380 $3,377 $3,376 $3,371 $3,370 $3,364 $3,363 $3,359 $3,351 $3,349 $3,348 $3,348 $3,346 $3,345 $3,343 $3,342 $3,337 $3,336 $3,330 $3,325 $3,324 $3,324 $3,321 $3,319 $3,318 $3,318 $3,314 $3,312 $3,311 MedicaidManagedCare20160513.xlsx Page 67 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1285067843 - CARDENTE CAPECE, SHEILA, LICSW 1508011842 - WILLIAMS, CAMILLE, C.N.M 1760467971 - CASPER, RODD, P.A. 1578701900 - BLYCKER, GRETCHEN, LMHC 1700019254 - RODERICK, JASON, LICSW 1356441562 - NEWPORT EMERGENCY PHYS 1376587097 - VOLLARO, CHRISTINE, PCNS 1164587341 - DOTOLO, JOSEPH, M.D. 1528163920 - MANDEL, SUSAN, LICSW 1013083914 - BRAYMAN, ADRIANA, R.D. 1750375739 - FRANZESE, DENISE, D.C. 1639210628 - LABIAK-MAHER, CATHERINE, M.D. 1891760708 - SETHI, JIGME, M.D. 1619138823 - MUNRO, ANDREW, M.D. 1922058296 - BLENNERHASSETT, SHERRI, O.D. 1780705707 - BEVIVINO, JACK 1346232733 - HANCUR, WILLIAM, LP 1306832241 - BARNSHAW, HILDA CORINNE, O.T.R 1669576062 - PROCOPIO, FORTUNATO, M.D. 1699733352 - ZIMMERMANN III, BERNARD, M.D. 1124225594 - STOLK, MORDECAI, M.D. 1275725798 - PREMIER ORTHO & WORK REHAB-N.KINGSTOWN 1801093992 - RAINONE, STEVEN JUDE, N.P. 1518094846 - THAYER, JEREMY 1679638530 - Vantage Point, Inc. 1811227168 - SARTORI, CLARE 1851630230 - RESNICK, BRIAN, P.A. 1235422262 - ALL COAST PHYSICAL THERAPY INC 1194042374 - Debbi McInteer M.D., Inc- Main St 1932198082 - RIZACK, TINA, M.D. 1801982491 - GIRACH, ALTAF, M.D. 1972614733 - ALTONGY, GILBERT 1396824793 - PROIETTA, MARY 1124067301 - RABATIN, JOSEPH STEPHEN, M.D. 1023072899 - BURROUGHS, ROBERT, M.D. 1437150422 - HARROP, PAMELA, M.D. 1225199417 - SABLE, LINDA 1497189914 - HALAVIK, KYLE, P.T. 1831232636 - ALHOURANI, KHALID, M.D. 1225097751 - ABED, NAHID, LMHC 1265428114 - MARIORENZI, A LOUIS, M.D. 1669514352 - VACCINE CVS PHARMACY LLC 1578503967 - DUHIG, NIALL 1982745923 - SOUTHERN NEW ENGLAND NEUROLOGY 1821241332 - MORTON, KATHLEEN, M.D. 1417110172 - ZAINAH, HANADY, M.D. 1447313366 - MANCHESTER, SEAN, LICSW 1114343092 - TELLA, NICOLE, R.D. 1437361532 - PIASECKI, ELAINE, R.D. 1407918030 - HALL, HEATHER, MD 1942318357 - DELSESTO, RICHARD 1275818676 - MCMAHON, VINCENT, LICSW 1265458137 - MYERS, DEBORAH, M.D. 1124172523 - VOSO, ELIZABETH, LICSW 1851348353 - NUGENT, SARA, M.D. 1336232883 - BUNTZ, SUSAN, C.N.A 1851333454 - DIGITRACE CARE SERVICES 1922084078 - MEDEIROS, AMY, N.P. 1952355349 - TREGER, FLORA, M.D. 1134145097 - MILLER, MARGARET, M.D. 1548304090 - BROCHESTER, RENEE, M.S. 1861744211 - OMARA, ROISIN, LP 1841354982 - WEST BAY DERMATOLOGY 1548270531 - BILODEAU, ELIZABETH, LICSW Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $3,307 $3,305 $3,304 $3,303 $3,296 $3,295 $3,294 $3,294 $3,293 $3,289 $3,280 $3,276 $3,276 $3,268 $3,268 $3,267 $3,267 $3,264 $3,263 $3,261 $3,259 $3,251 $3,250 $3,248 $3,246 $3,245 $3,245 $3,245 $3,242 $3,241 $3,239 $3,235 $3,235 $3,232 $3,228 $3,220 $3,219 $3,218 $3,218 $3,217 $3,214 $3,211 $3,207 $3,207 $3,207 $3,205 $3,203 $3,202 $3,197 $3,195 $3,190 $3,188 $3,181 $3,174 $3,167 $3,162 $3,161 $3,158 $3,145 $3,143 $3,140 $3,137 $3,135 $3,134 MedicaidManagedCare20160513.xlsx Page 68 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1568473528 - CURRIER, M CHRISTINE, LICSW 1972587673 - SANCHEZ-ESTEBAN, JUAN, M.D. 1194710814 - MARIORENZI, LOUIS, M.D. 1225080617 - ASHLEY, ROGER, M.D. 1245273804 - KITTLER, JENNIFER, LP 1760532451 - NARRAGANSETT INDIAN HEALTH CTR 1316095508 - WALSH, SUSAN 1477507663 - ASHAWAY AMBULANCE 1396702205 - SPITALNIC, STUART, M.D. 1619928777 - CONNERNEY, PATRICIA, N.P. 1649452798 - FISCHER, CORRINE 1902812480 - NADEAU, DONALD, D.O. 1215956420 - VOHR, BETTY, M.D. 1457417883 - D'ANDREA, EUGENE 1780023051 - Continuum Behavioral Health / Benjamin Lederer MD 1720180797 - WONG, ARTHUR, M.D. 1437402518 - PORELL, RYAN, LP 1689774473 - HOWARD, CAROLYN, M.D. 1316925464 - GOPALAKRISHNAN, PAARI, M.D. 1255338240 - FAIZAN, MOHAMMED, M.D. 1891021010 - QUINN, AMY, LICSW 1104860253 - POWERS, DONYA, M.D. 1881631083 - DREW, THOMAS, M.D. 1831342666 - BOWDEN, ROBERT, P.A. 1821074345 - KAGAN, SAMUEL, M.D. 1144273301 - FULTON, ANA, M.D. 1528195997 - Family Service of Rhode Island, Inc. 1326052366 - MARWIL, IVY, LICSW 1063470995 - CALIENDO, ANGELA, M.D. 1881606622 - FENTON, MARY ANNE, M.D. 1871753137 - ROCA, ALPHA, LCDP 1376670117 - ROTELLI JR, ANTHONY, M.D. 1578780821 - CAHILL, JONATHAN 1669745147 - GELINAS, CHRISTOPHER, LMHC 1144227018 - HEBERT, ANNE, M.D. 1770895393 - DEFORBES, MICHAEL, LCDP 1104890813 - NAU, GERARD, M.D. 1699814806 - Marchetti Associates 1659472371 - KARAMBELAS, DENNIS 1881642049 - MANNING, BRADLEY, M.D. 1356337745 - GREENIER, VANESSA, M.D. 1003941394 - DIPRETE KOOPMAN, KRISTIN, LICSW 1669592101 - EWART, MARY, LMHC 1528257920 - CENTER FOR SIGHT INC 1629486550 - FORM AND FUNCTION PHYSICAL AND SPORTS ME 1962564989 - GOLD, SONDRA 1538495072 - STARR, LAURA, LICSW 1811094790 - FARIS, JOANN, R.D. 1427087576 - AMALFITANO JR, FRANK, M.D. 1326035023 - PRESSMAN, MITCHELL, M.D. 1467555912 - TOROK, MARK, P.T. 1407858731 - RAPPOPORT, HARVEY, O.D. 1811973662 - YOUNG, DIANE, LP 1912124454 - TABER, ANGELA MARIE, M.D. 1386794345 - GRAEFE, SUSAN, LICSW 1801986054 - WOOD, JOANNA, LICSW 1972815249 - JANDASEK, BARBARA, LP 1881966901 - SKINPROS PROVIDENCE 1548260383 - MCKENNEY, PAUL, M.D. 1124155932 - HANUSCHAK, RONALD, LMHC 1306887237 - CENTER FOR HEALTH, INC. 1669658274 - CHRISTOPHER WAY, MD, PSC LIGHTHOUSE MD INC 1962423525 - The Providence Center For Counseling And Psychiatr 1225078421 - MERMEL, LEONARD, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $3,133 $3,132 $3,129 $3,127 $3,123 $3,122 $3,119 $3,115 $3,113 $3,110 $3,107 $3,107 $3,095 $3,093 $3,092 $3,089 $3,086 $3,086 $3,085 $3,083 $3,082 $3,081 $3,079 $3,078 $3,076 $3,074 $3,070 $3,066 $3,065 $3,063 $3,063 $3,060 $3,059 $3,051 $3,048 $3,047 $3,041 $3,034 $3,034 $3,033 $3,031 $3,030 $3,026 $3,024 $3,012 $3,005 $3,002 $3,001 $2,997 $2,996 $2,995 $2,993 $2,991 $2,989 $2,980 $2,980 $2,979 $2,979 $2,977 $2,973 $2,970 $2,967 $2,966 $2,963 MedicaidManagedCare20160513.xlsx Page 69 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1104847102 - ARAUJO PICARD, ELIDA, LICSW 1598060881 - CAPUANO RUBIN, VERONICA, LMHC 1447207717 - ARSENAULT, RONALD, LICSW 1093828576 - BAFFONI, FRANK, M.D. 1619944154 - MARTINEZ, TAMMY PRUITT, P.A. 1184977514 - BOTELHO, KENNETH, P.A. 1174670806 - TO, KING 1659359271 - QUINTOS, JOSE BERNARDO BERNA, M.D. 1154373223 - LANNI, KERRI, P.A. 1235138116 - CHOPRA, PRADEEP, M.D. 1114920121 - BAKER JR, RICHARD, D.P.M 1154568178 - KILROY, JENNIFER, LMHC 1124243134 - CORL, KEITH, M.D. 1821074386 - SMYTHE, JAMES, M.D. 1396815692 - BOISVERT, JACQUELINE, O.D. 1912966961 - FIRST COMMUNITY CARE 1942377684 - Zeng, Rodger, AC 1962421404 - LEWIS, PETER, D.P.M 1649300765 - ORREGO, GEOVANY 1063498996 - DAVIS, JENNIFER, LP 1467660340 - DEASCENTIS, DONNA, LMHC 1881670529 - GARCIA, ABBE, LP 1952700841 - WEINSTEIN, BRIAN, P.A. 1770758971 - LEE, IRENE, M.D. 1518256254 - REUKER, SUSAN, LICSW 1689078966 - ARPINO, SARAH, R.D. 1750600250 - HESSER, JANE, LICSW 1518100056 - WARWICK PAIN ASSOCIATES 1770555872 - PERUMAL, ARUMUGAM, M.D. 1972669190 - KRAMER, PAMELA, LICSW 1063455061 - BRANNON, PATRICK, M.D. 1609150069 - TWICHELL, CARY 1225266489 - CASSIDY, DALE, M.D. 1740609981 - HAROLD WANEBO MD 1376801142 - LAFERTE, KATHRYN 1043230030 - O'BRIEN, JAMES, M.D. 1639371768 - HARTNETT, SUSAN 1407134745 - HANS, NIDHI, M.D. 1457304859 - SELLKE, FRANK, M.D. 1316155328 - MOLDOVAN, ANNAMARIA, MD 1558317008 - POSHKUS, KRISTIN, M.D. 1487755963 - RAFAL, KEITH W, M.D. 1184781544 - ARCHER, ROBERT, LICSW 1265444335 - ESTRADA, ROLAND, O.D. 1053447631 - YELLIN, CLAUDIA, LP 1548538614 - FOWLER, EMILY, LMHC 1144221862 - DASILVA, GRACIETTE, P.A. 1891747960 - SHUSHANSKY, LARRY, LICSW 1780023317 - JONES, SHANNON ANNE, N.P. 1487746467 - GOLINI, WILLIAM, M.D. 1235409814 - MONTCRIEFF, CAITLIN, N.P. 1447343595 - BIEDERMAN, NANCY, LICSW 1962705590 - IMRAN, HAFIZ, M.D. 1063687317 - CHALK, LAURA, PCNS 1144217829 - BURNS, SUZANNE, M.D. 1619107554 - PATEL, TEJAS, M.D. 1114126257 - SPAS, JAYSON, LP 1023298338 - BACK IN MOTION CHIROPRACTIC - PROVIDENCE 1831362813 - MENS HEALTH CENTER 1821104290 - WHITE, JORDAN, M.D. 1215054440 - PARKS, KENNETH, LICSW 1861698730 - WINNEGGE, JENNA, P.T. 1962400200 - LOWNEY, MARK 1871807545 - ZISSERSON, REBECCA, LP Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $2,962 $2,959 $2,957 $2,953 $2,950 $2,948 $2,945 $2,944 $2,940 $2,940 $2,939 $2,938 $2,933 $2,932 $2,931 $2,930 $2,928 $2,927 $2,927 $2,926 $2,926 $2,912 $2,909 $2,903 $2,901 $2,901 $2,892 $2,886 $2,882 $2,877 $2,870 $2,870 $2,863 $2,862 $2,861 $2,861 $2,861 $2,860 $2,858 $2,857 $2,857 $2,856 $2,856 $2,853 $2,846 $2,845 $2,845 $2,843 $2,842 $2,842 $2,836 $2,824 $2,822 $2,814 $2,812 $2,810 $2,804 $2,801 $2,795 $2,784 $2,765 $2,765 $2,765 $2,763 MedicaidManagedCare20160513.xlsx Page 70 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1750413902 - PIETTE, HEIDI LEE-ANN, E.D.D 1720136419 - BMC NEUROPHYSIOLOGY LAB 1942645767 - LAFRENIERE, HEATHER, LICSW 1285693051 - KITZES, DAVID 1457309858 - MEGA, ANTHONY, M.D. 1275713679 - CAPECE, ERIN, LICSW 1649294562 - ANDERSON, ANGELA, M.D. 1780088476 - MELETTA, COURTNAY, LMHC 1063692184 - ASSANAH, EARLE, M.D. 1811221500 - Theetge, Melissa, MT 1548346240 - HUGHES, JEFFREY, LP 1093911448 - DUNCAN, JANICE, M.A. 1679538110 - KWARA, AWEWURA, M.D. 1467714196 - BECKETT, JOAN, LMHC 1265766901 - YASUKAWA, KOSUKE, M.D. 1538226626 - YOUNG, WENDY, N.P. 1376784827 - SCHAFFER, MICHAEL, LP 1750448098 - EILERTSEN, JOSEPH, LICSW 1558388439 - GREENE, JUDITH, LICSW 1053341891 - HOWARD, MARGARET, LP 1790712768 - MILLER, VIRGINIA 1356733497 - FELDMAN, GERALDINE, LICSW 1851347785 - CUTITAR, MARLENE, M.D. 1316148521 - GIFFORD, BRANDI 1790754919 - HATHAWAY, KENNETH, D.O. 1366497679 - SHALON, LINDA, M.D. 1851504245 - SHEERAN, THOMAS, LP 1336277565 - LEINHAAS, PAUL, M.S. 1740434695 - BODY EASE RI PHYSICAL THERAPY CENTRE LLC 1235222597 - PAUL, ALFRED, M.D. 1700833761 - STULIK, EDWARD, M.D. 1720044134 - QURESHI, ABRAR, M.D. 1790086007 - CONNOR, JILLIAN, LCDP 1164512554 - SPIVEY RACHLIN, JENNIFER 1538195144 - PRZYGODA, JOHN 1770539728 - Emma Pendelton Bradley Hospital (Lifespan) 1861489775 - PETER-FAHERTY, ANILA, M.D. 1811977804 - CARNEY GODLEY, M KATHLEEN, M.D. 1366504771 - CURELL, AMY 1871500793 - WEISS, JOSEPH BENJAMIN, M.D. 1720366719 - HUFTALEN, TARSHA, N.P. 1851523542 - HOPE JACKSON FIRE CO 1922146141 - HOPE ALZHEIMER CENTER 1669613907 - JENKINS, DEREK, M.D. 1326267105 - CHOQUETTE, PHYLLIS 1912125345 - WILLIS, MATTHEW, MD 1134251135 - DUBOIS, DAVID, M.D. 1750340824 - CONOVER, CRAIG, LMHC 1639229933 - DUBOIS, SARA, D.C. 1972567014 - FITZGERALD, JOSEPH, M.D. 1376820928 - Lifespan Physician Group 1487630331 - PLANTE, WENDY, LP 1053321828 - ROSEN, BARBARA, LICSW 1881771574 - MESSINA, DINO, M.D. 1063466324 - LARKIN, DURGA, M.D. 1972546505 - SIMON, ROBIN, LMHC 1538184338 - KUMAR, TUMKUR B, M.D. 1831172907 - VNS HOME HEALTH SERVICES 1154386266 - REDDING, MAUREEN, R.P.T 1558337121 - LICHTENBERG, KRISTIN, M.D. 1144338260 - NIGRI, PETER, M.D. 1720174501 - DI SANTO, DAVID, M.D. 1255504734 - SMITH, KAMIR, O.T.R 1528082922 - CHRISTIAN, FREDRIC, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $2,757 $2,754 $2,750 $2,746 $2,745 $2,739 $2,735 $2,732 $2,727 $2,725 $2,725 $2,720 $2,714 $2,713 $2,710 $2,707 $2,701 $2,699 $2,694 $2,693 $2,690 $2,687 $2,684 $2,682 $2,681 $2,668 $2,662 $2,661 $2,655 $2,654 $2,653 $2,652 $2,647 $2,646 $2,637 $2,634 $2,633 $2,632 $2,631 $2,630 $2,626 $2,625 $2,622 $2,612 $2,607 $2,605 $2,603 $2,600 $2,600 $2,598 $2,594 $2,593 $2,593 $2,590 $2,590 $2,589 $2,589 $2,586 $2,584 $2,583 $2,582 $2,579 $2,575 $2,572 MedicaidManagedCare20160513.xlsx Page 71 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1003869876 - KIRK, SAMANTHA, LP 1508805128 - FERRIS, JUDITH, LICSW 1053588806 - HOPE PHYSICAL THERAPY INC 1689899742 - KAWAOKA, JOHN, M.D. 1790906089 - ROGERS, JAMISON, MD 1326326307 - FEDE, JESSICA, LP 1801800115 - LEVY, KATHLEEN, LMFT 1457430845 - BARBOZA, PHYLLIS, LMHC 1942345608 - CRANE, MICHAEL, LP 1215167879 - SESHADRI, JAYASREE, O.D. 1063764652 - Butler Hospital (Care New England) 1477567139 - Butler Hospital (Care New England) 1437376100 - KENT UROLOGY INC 1235370016 - COOK, GRACE, N.P. 1881877355 - BEAUVAIS, DEBORAH, N.P. 1063440287 - MCCAFFREY, JOHN, D.O. 1164426011 - DOBBIN, JAMES, M.D. 1124294087 - LINBACK, LAURA, M.S. 1356379390 - ZIENOWICZ, RICHARD, M.D. 1023176948 - BAHRMAN, JEAN, LICSW 1114908076 - FALK, AMY, O.D. 1386797298 - WEILER, MICHAEL, LP 1265417836 - TAYLOR, JULIE, M.D. 1073537585 - YIN, KHIN SEIN, M.D. 1083663298 - KOPLAN, BRUCE, M.D. 1144353855 - OLIN, MICHAEL, M.D. 1669654711 - MARLENE CUTITAR MD LLC 1679652093 - ROBERTS, RACHEL, R.D. 1518095165 - KLEIN, MADELINE, LICSW 1730129867 - SAPERS, BENJAMIN, M.D. 1134238587 - BLUMEN, DALE, LMFT 1649255118 - KESSIMIAN, NOUBAR, M.D. 1568586121 - Angell Street Psychiatry, LTD 1851596712 - STANTON, LAURA, MD 1093757635 - DOBRZYNSKI, ROBERT, M.D. 1346224573 - MEDEIROS, BRIAN, M.D. 1821034943 - WALEK, THOMAS 1780810572 - OZA, PRANAV, M.D. 1487840229 - RANA, AADIA, M.D. 1598876211 - Child & Family Services 1336300300 - VORA, SONALI, M.D. 1427454081 - ROBERGE, MARISSA, F.N.P 1336180983 - BARRETO, STEVEN, LP 1295811057 - GOLDIS, HAROLD, LICSW 1497901961 - TROMBLY, ALLISON, N.P. 1497815930 - MOTOLKO, MICHAEL, M.D. 1972605905 - ANTONIAN, THOMAS, O.D. 1912926064 - TREICHLER, ROBERT, LICSW 1245297050 - Gateway Healthcare, Inc. 1225135494 - JAHRLING OCULAR PROSTHETICS 1972533503 - ROSENBERG, MICHAEL 1477549988 - AL-HUSAMI, WAEL, M.D. 1124054101 - OTT, BRIAN 1245477785 - PROVENCAL, SHERRI, LP 1992743116 - MABIE, KEVIN, M.D. 1649236530 - PEARSON-RIEL, CAROL, N.P. 1356323067 - ZINGALE, PHILIP, P.A. 1891780573 - CAMPBELL, JOSEPH, M.D. 1689708893 - BALLANTYNE, KATHLEEN 1922162387 - BONADONA, JORGE, P.A. 1730317736 - BORN, TREVOR, M.D. 1912235318 - WASILEWSKI, ELISA, P.A. 1942367412 - Emma Pendelton Bradley Hospital (Lifespan) 1598884298 - ASCOLI, KEVIN Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $2,571 $2,568 $2,566 $2,566 $2,565 $2,563 $2,562 $2,562 $2,559 $2,558 $2,550 $2,546 $2,545 $2,543 $2,541 $2,537 $2,536 $2,533 $2,529 $2,525 $2,510 $2,510 $2,507 $2,500 $2,499 $2,495 $2,490 $2,490 $2,489 $2,489 $2,489 $2,486 $2,486 $2,485 $2,484 $2,481 $2,478 $2,475 $2,467 $2,458 $2,453 $2,450 $2,450 $2,450 $2,448 $2,448 $2,445 $2,441 $2,439 $2,437 $2,428 $2,427 $2,424 $2,421 $2,416 $2,409 $2,409 $2,408 $2,404 $2,399 $2,396 $2,381 $2,378 $2,372 MedicaidManagedCare20160513.xlsx Page 72 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1881613057 - BOURJEILY, GHADA, M.D. 1437224136 - LUSSIER, MARY 1295733988 - COTTIERO, RICHARD, M.D. 1205920188 - WAY, CHRISTOPHER, M.D. 1699765446 - SURPRENANT, PATRICIA 1952563645 - FORNARO, TIMOTHY 1376722306 - DAGHER, IBRAHIM, MD 1235230640 - MEDEIROS, KIM, LMHC 1073549259 - ANDRIULLI, GERARDO, M.D. 1518354729 - JAMES G STUART DO LLC 1801189048 - KO, ELIZABETH, M.D. 1891796702 - VITTIMBERGA, GWENN, M.D. 1891942462 - BRUSHART, SUZANNE, LMHC 1407918121 - Miriam Hospital (Lifespan) 1679538755 - BROWNE, SARAH, P.T. 1578985974 - PARKER, JESSICA, N.P. 1528076718 - ABBASI, SIDDIQUE, M.D. 1346202967 - AMIN, KIM 1043567852 - REYES-CUERVA, CARLA, O.T.R 1467490128 - TOMLINSON, DAVID, M.D. 1326189622 - WOOD, ANNE, M.D. 1568555613 - DOUGHERTY, ANDREA, LICSW 1528049566 - RICCITELLI, ROBERT 1851434112 - ESTNER, STEPHEN, D.C. 1548553779 - DUGDALE, CAITLIN, M.D. 1720311087 - Ciresi, Angela, DC 1356364285 - WOOLLACOTT, JACQUELINE, LICSW 1922406875 - ANGELS MEDICAL ASSOCIATES 1457661076 - DI PADUA, LYNNE, LICSW 1215154430 - WENDELL, LINDA, M.D. 1285884072 - LAROCHE, KATHLEEN, M.A. 1245456011 - MARANO, LEAH, M.D. 1336149459 - BUNCH, ANNA, N.P. 1417000357 - MASSINGHAM, LAUREN, M.D. 1922313592 - RIJAL, JHARENDRA, M.D. 1336296326 - CRIST, JONATHAN, DO 1245347293 - DELUCA, SHARON, PCNS 1457756488 - BALDWIN, ASHLEY, N.P. 1124129358 - PAPPAS, STACEY, M.D. 1669455192 - THURSBY, MICHAEL, D.O. 1982644100 - MILENO, MARIA, M.D. 1023109915 - MCAULEY, SALLY, LICSW 1467458331 - GREENBERG, PAUL, M.D. 1205056736 - LOVGREN, LAURIE 1396763223 - RICKERBY, MICHELLE, MD 1548217805 - SPURWINK RI 1194962985 - LEWIS, BETHANY, LMHC 1750609897 - RAPPOPORT, LAUREN, LMHC 1639187461 - MARTIN, ELAINE, LICSW 1184622714 - SOLIS, JON, M.D. 1629045646 - GROSKIN, STEPHEN, M.D. 1639412802 - VELARDE, SERGIO, LICSW 1508034208 - LAWRENCE, KIPP, LMHC 1013945344 - LANZILLO JR, CHARLES, M.D. 1629055173 - CARBON JR, JOHN, D.O. 1942214549 - MAIOLI, SHEELAH, LCDP 1447402110 - BONANNO, JESSICA, LICSW 1699911636 - KRETCHMAN, KEVIN, LMHC 1952529463 - ANDERSON, CINDA, O.D. 1225242381 - KIDNEY HEALTH CTR WOONSOCKET 1033402276 - HILLIARD, ROSS, M.D. 1043466154 - LUKANINA, NATALIA, M.D. 1053345827 - VIEIRA IEMMA, JANE, LICSW 1639162951 - JACEWICZ, GEORGE Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $2,368 $2,368 $2,366 $2,366 $2,366 $2,366 $2,364 $2,363 $2,360 $2,358 $2,357 $2,354 $2,349 $2,346 $2,345 $2,345 $2,345 $2,343 $2,342 $2,340 $2,338 $2,337 $2,332 $2,330 $2,328 $2,326 $2,324 $2,323 $2,322 $2,322 $2,320 $2,317 $2,315 $2,315 $2,310 $2,309 $2,308 $2,307 $2,301 $2,300 $2,298 $2,278 $2,278 $2,273 $2,271 $2,265 $2,265 $2,264 $2,263 $2,263 $2,263 $2,262 $2,258 $2,256 $2,253 $2,245 $2,245 $2,242 $2,240 $2,238 $2,237 $2,232 $2,231 $2,229 MedicaidManagedCare20160513.xlsx Page 73 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1942258249 - RAMIREZ, BASILIA, M.D. 1417939562 - HOPKINS HILL FIRE DISTRICT 1265594220 - HUXTABLE, ROBERT, LMHC 1215089180 - BISWAS, NAVANEEL, M.D. 1962509471 - KHAN, MOHAMMAD 1225048721 - CERBO, LOUIS 1003050121 - MOLES, KRISTY 1215969944 - WEINMAN, SUSAN, MD 1821106063 - RI NEUROLOGY GROUP, INC 1154366599 - GRAHAM, JOHN, M.D. 1669804712 - HARRISON, PAIGE, N.P. 1750495271 - AGARWAL, PURVA, M.D. 1306995675 - MUMFORD HALEY, MARY, C.N.M 1891796819 - MILLS, DAVID, O.D. 1821053653 - WAZER, DAVID, M.D. 1093846958 - HENDERSHOT, KATHLEEN 1417204975 - ALLEN, KRISTEN, C.N.M 1104919117 - RIVELLI, KELLI, LCDP 1770732497 - CALVINO, ABDUL SAIED, M.D. 1457794422 - DASARI, NARESH KARAN, M.D. 1164462461 - WELCH, RAYMOND, M.D. 1225042633 - RASMUSSEN, STEVEN, M.D. 1467411207 - STOCKWOOD, ALIX, LICSW 1699023408 - COOKE, BETH, LICSW 1700093788 - JHUNG, JHUNG, M.D. 1508900333 - HEUFELDER, MELINDA 1821237124 - STRAUSS LEVINE, DEBRA, LICSW 1770576696 - SELLECHIO, JOHN, O.D. 1225077852 - TUNKEL, ALLAN, M.D. 1902185762 - OULETTE, BRIENNA, LICSW 1356324248 - DIAZ, JOSEPH, M.D. 1811162316 - Health Behavior Consultants, Inc. 1790815579 - WELLNESS RSOLUTIONS 1972597003 - COLAVECCHIO, LOUIS, M.D. 1891931846 - WINCHELL, KASEY, P.T. 1952496838 - POMINVILLE, DONALD, LCDP 1396849782 - RIH CANCER CENTER 1841409976 - BOWEN, ROBERTA, M.D. 1942286265 - SOLOMON, DAVID, MD 1104964600 - Bruno, David, DC 1548542772 - DECIANTIS, LISA 1619980018 - FELLOWSHIP HEALTH RESOURCES INC 1356375026 - BOYLE, MARGARET, LICSW 1003155904 - JOSEPH, ANDON 1477531895 - KOOPER, GRACE 1386886836 - BRONSNICK, DANIEL, M.D. 1629148986 - HANNA-TRAD, LINDA, M.D. 1306854633 - KREBS, BONNIE, LP 1376580084 - BASILE JR, FRANCIS, M.D. 1710091335 - ALI, SADAF, MD 1437316676 - FINDLEY, ALYSSA, M.D. 1497790034 - ROY, GAIL, LICSW 1093700726 - LIFRAK, JOSEPH, M.D. 1134281793 - MILLER, JANICE SUSAN, M.D. 1285726489 - MANCEBO, MARIA, LP 1245260330 - Borzillo, Lynn, AC 1265458020 - RICCI, ELIZABETH, N.P. 1770619165 - ASAAD, WAEL, M.D. 1477618841 - NORTH SCITUATE FAMILY EYE CARE 1669804753 - MCPHEE, LIANE, O.D. 1215913215 - SAN ANTONIO, PAMELA 1780705293 - HAAS, SANDRA, LICSW 1093748378 - HARAPPANAHALLY, GITA, M.D. 1124297783 - DULUDE, GRACE, LMHC Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $2,227 $2,227 $2,226 $2,224 $2,222 $2,220 $2,217 $2,216 $2,216 $2,210 $2,210 $2,210 $2,202 $2,201 $2,192 $2,190 $2,187 $2,184 $2,182 $2,178 $2,174 $2,169 $2,168 $2,167 $2,164 $2,151 $2,150 $2,149 $2,147 $2,147 $2,145 $2,140 $2,139 $2,130 $2,128 $2,125 $2,125 $2,124 $2,116 $2,115 $2,114 $2,112 $2,107 $2,107 $2,106 $2,105 $2,102 $2,090 $2,088 $2,084 $2,084 $2,077 $2,074 $2,074 $2,064 $2,054 $2,052 $2,051 $2,050 $2,049 $2,049 $2,048 $2,044 $2,043 MedicaidManagedCare20160513.xlsx Page 74 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1861539991 - SERABIAN KAUFER, DEBORAH, LICSW 1003892712 - LOBATO, DEBRA, LP 1851647465 - CLARK, NATALIE, LCDP 1245268689 - LEVICK, CARL, M.D. 1184787558 - AUDREY GALLI PHYSICAL THERAPY INC 1881811479 - EYES UNIQUE 1528186475 - OAKLAND MAPLEVILLE FIRE DEPT 1710309349 - ABIOYE-AKANJI, OLUSEYI, N.P. 1053578963 - TUKEY, MELISSA, M.D. 1275624165 - CANO, GLADYS, LICSW 1417962358 - FOLEY, LEELA, LICSW 1881625788 - PLOVER, JEAN, M.D. 1417997743 - FERGUSON, GARY, M.D. 1477579407 - MANCINI, MARK, M.D. 1861438830 - SANDERS III, HENRY, M.D. 1093962805 - GUEVARA, DANIEL, M.D. 1699069682 - FREEMAN, SARAH, M.D. 1881876753 - BALSER, KIMBERLY, LICSW 1023246287 - CUNHA, CHESTON, M.D. 1891844098 - WOODARD, TRACY, LMFT 1720050313 - FEIT, LLOYD, M.D. 1104053784 - PARKHURST, ALLISON 1245576537 - ELIAS, JOYCE, LMHC 1457441321 - STUCKEY, ASHLEY, M.D. 1477504637 - GLIEBERMAN, OSCAR 1518221456 - DOLCE, CHRISTINA, LP 1386883205 - KANTOR, RAMI, M.D. 1528152691 - S. COUNTY EKG GROUP 1265715973 - CHOI, MARY, LICSW 1174557367 - PEZZULLO, DAVID, R.P.T 1265578678 - AUTH, JOHN, M.D. 1215954391 - PONCELET, ELAINE, LICSW 1720092786 - ANJOORIAN, LAURA, LMHC 1063546315 - WARE, WILLIAM 1316281793 - CANNING MCCOMISKEY, MARY ANN, LICSW 1619907441 - Bailey Associates Counseling & Training Center 1659439263 - HYDE, JOSEPH, LMHC 1275516544 - PADBURY, JAMES, M.D. 1295046282 - GANNON, TRACY, R.P.T 1447216379 - PENSA, GITA, MD 1366588816 - MALIK, MOHSIN, M.D. 1487834552 - LAYTON, JODI LYN, M.D. 1447458708 - SELKE, GREGG, LP 1386774313 - FERRO, HEATHER, LICSW 1902955974 - DECONNO, SERGIO 1518109073 - SHORTER, PETER 1285862565 - RACKOW, RACHEL MELISSA, M.D. 1366685596 - HIGGINS II, HAROLD WILLIAM, M.D. 1083678023 - MINER, MARTIN, M.D. 1275559361 - ALPER, ELIZABETH, LICSW 1578503181 - DALY, ROBERT, M.D. 1518907930 - BETTEZ-DESIMONE, KELLY, P.T. 1811961139 - CHIAPPINI, ROCCO, M.D. 1558445569 - BEACON HOSPICE - E.PROV 1366471807 - ANGELINI, DIANE, C.N.M 1013173319 - CRAWFORD FAMILY MEDICINE 1790741791 - PAPPAS, ELENI, D.P.M 1851623557 - BAXTER, KELLY, N.P. 1831206473 - TURANSKI, JAMES, MD 1841355567 - FLETCHER, DIANE, PCNS 1053624106 - FERNANDES, SHERRI ANNE, LCDP 1740423821 - Delta Consultants Of South County, Inc. 1477742088 - MONTINI, TOMASSO, PCNS 1851370365 - SIMON, PETER, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $2,042 $2,042 $2,038 $2,037 $2,036 $2,025 $2,018 $2,016 $2,010 $2,008 $2,005 $2,004 $2,004 $1,995 $1,994 $1,994 $1,988 $1,984 $1,982 $1,979 $1,969 $1,969 $1,964 $1,964 $1,963 $1,963 $1,959 $1,950 $1,949 $1,943 $1,938 $1,934 $1,930 $1,916 $1,910 $1,910 $1,910 $1,903 $1,903 $1,899 $1,899 $1,899 $1,898 $1,898 $1,896 $1,895 $1,894 $1,890 $1,890 $1,889 $1,886 $1,886 $1,886 $1,884 $1,882 $1,880 $1,880 $1,880 $1,879 $1,879 $1,875 $1,875 $1,865 $1,864 MedicaidManagedCare20160513.xlsx Page 75 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1720075815 - SAN ANTONIO III, WILLIAM, LICSW 1952460636 - GLENN, HEATHER, N.P. 1780929026 - CHIANG, ROBIN 1821106378 - CHRIST, MARIANN, LMHC 1801980149 - PHILLIPS, MARTIN, M.D. 1932376233 - MOBILEXUSA 1306946983 - TAFT, MARY, LICSW 1265662209 - KENDRA, KATHLEEN, LP 1619096955 - DI BIASIO, RONALD, LCDP 1376626440 - FURCOLO, KENNETH, P.A. 1396962841 - ALEXANDER, NICOLE, M.D. 1033105499 - BULLINGER, BRENDA, LICSW 1710297569 - HERREN, JENNIFER, LP 1942323068 - ADOLESCENT MED-PRIM CARE RI HOSP 1376581629 - MARZ JR, ALBERT, D.O. 1326086042 - REGO, SHERI, R.D. 1295753648 - LEAL, SANDRA, LICSW 1396774089 - ABBRUZZESE JR, SALVATORE, D.O. 1710934724 - SHEMIN, DOUGLAS, M.D. 1104812049 - CHIHLAS, CHRISTOPHER, M.D. 1023290939 - MICHAEL E MIGLIORI 1295770923 - DAWES, TIMOTHY, LICSW 1558352013 - CENTER FOR SIGHT, INC. 1700951373 - NORWOOD, SARAH, LICSW 1033280151 - HOSPICE OF NURSING PLACEMENT 1811255383 - BENNETT, SARAH, LMHC 1376533711 - CHERNYY, VITALIY, M.D. 1538275433 - MESSINA, CLAIRE, O.D. 1073560728 - Caritas, Inc. 1891729976 - LAWRENCE, DAVID, D.P.M 1871697227 - BENESCH, HOWARD 1750482584 - DWYER, MARY, CRNP 1437131430 - VEZERIDIS, MICHAEL, M.D. 1336563287 - CARREIRA, STACEY, R.D. 1487660296 - GRANAI III, CORNELIUS, M.D. 1356416515 - RAND, PAMELA 1336154178 - CORDEIRO, ALANA 1629074752 - KRZYSTOLIK, MAGDALENA, M.D. 1528244050 - SANCHEZ, KORIE, LICSW 1144353558 - BRIAND, ANNETTE, LICSW 1437184546 - HAWES, KATHELEEN, PCNS 1316902489 - PIECHOCKI, SEAN, P.A. 1699986828 - BAGINSKI, ROBERT, M.D. 1750391942 - PRICE, ANN, RN 1093850406 - AGINS, PAULA 1326032160 - GRANOFF-SCHOR, SARA, D.P.M 1205820222 - DIBENEDETTO JR, JOSEPH, M.D. 1497155378 - PLATZ, MICHAEL, O.T.R 1487761177 - DUDLEY STREET OPERATORY 1497736581 - MANDEL, ALEX, M.D. 1174599427 - DAY JR, JOHN, M.D. 1780759381 - O'CONNOR JR, WILLIAM, M.D. 1780753061 - MOYNIHAN, LEAH, N.P. 1275774010 - DOVE, DAVID 1043487986 - VELOZ-ROCHELEAU, EVELYN 1992897623 - VACCINE CVS PHARMACY LLC 1801828124 - DION ROY, JANETTE, LICSW 1669426672 - NEIMARK, EZEQUIEL, M.D. 1407953185 - DANIELS, DONNA, LICSW 1811902562 - TRIPP, EMILY, LICSW 1093009086 - PRODROMOU, MICHAEL, M.D. 1972624328 - DWYER, ALISON, PCNS 1053413484 - BRUNO, NICHOLAS, M.D. 1952349821 - Emma Pendelton Bradley Hospital (Lifespan) Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $1,864 $1,861 $1,856 $1,853 $1,852 $1,850 $1,847 $1,845 $1,845 $1,842 $1,841 $1,837 $1,836 $1,829 $1,828 $1,827 $1,826 $1,822 $1,821 $1,819 $1,819 $1,818 $1,817 $1,815 $1,815 $1,814 $1,811 $1,810 $1,807 $1,804 $1,800 $1,798 $1,797 $1,796 $1,795 $1,794 $1,793 $1,791 $1,788 $1,788 $1,787 $1,786 $1,784 $1,776 $1,776 $1,769 $1,767 $1,766 $1,762 $1,760 $1,759 $1,758 $1,755 $1,753 $1,751 $1,750 $1,749 $1,742 $1,741 $1,741 $1,740 $1,733 $1,731 $1,731 MedicaidManagedCare20160513.xlsx Page 76 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1285755348 - TANDON, RICHA, M.D. 1013127703 - HOPKINS, CAROLYN, N.P. 1235387770 - HAGGARTY, RYAN, LP 1598978744 - MIRIAM HOSPITAL 1689715724 - MONAC, JOYCE, M.D. 1821004896 - SCHIFFMAN, FRED, M.D. 1033486386 - ROBITAILLE, JOSEPH, LMFT 1568786077 - MACLEAN, JOANNA, MD 1598863599 - DOBRZYNSKI JR, ROBERT, M.D. 1972933273 - HIGEL MCGOVERN, CAMILLE, N.P. 1841573698 - BROUWER, PATRICIA, LMHC 1356485387 - HASSETT, JULIE, LICSW 1902027808 - MIRIAM TB CLINIC 1023248606 - Perspectives Corporation 1730169194 - AZODO, IJEOMA, M.D. 1982846143 - BARNES, AMANDA 1841502499 - DORSEY, DAVID, LICSW 1487814976 - KREMENTZ, BARBARA, LICSW 1467529537 - SWANSON, SUZANNE 1982769873 - PATENAUDE-LOCKETT, YOLANDE, N.P. 1184683815 - GIRGENTI, JOSEPH, O.D. 1407072838 - MERRIAM, PRISCILLA, M.D. 1669460028 - WEST GLOCESTER FIRE DEPARTMENT 1740218809 - FRISHMAN, GARY, M.D. 1134257348 - DONISE, KATHLEEN, MD 1790798783 - DOBSON, MICHAEL, M.D. 1497866339 - LALLY, KATE, M.D. 1063579886 - MUSCO, PAUL, M.D. 1124267901 - NAVEGA, NICOLE, LICSW 1184622995 - TRACY JR, THOMAS, M.D. 1699190991 - BELHUMEUR, BARBARA 1083851711 - MEEHAN, THOMAS PAUL, P.A. 1487947370 - TURNER, DEBORAH, R.D. 1699885863 - GUERINA, NICHOLAS, M.D. 1497781827 - EDWARD J MCDONALD 1811399066 - COUTURE, ALLISON, N.P. 1376562496 - SARNOWSKI, ALEXANDRA 1356437396 - ROBERTS, LISA, LCDP 1104855436 - FERREIRA, MARK, LICSW 1982796215 - BARTLETT, MARGARET, LICSW 1164452397 - LAURENS, NANCY 1376811448 - MITCHELL, DULCY, O.D. 1679878706 - MANGION, JEREMY, M.D. 1134227051 - LANZIERI, VINCENT, PCNS 1558414680 - DEVINE, FATIMA, LICSW 1518963685 - CRAYBAS, NORBERT, M.D. 1164432472 - HARRISON, SALLY, PCNS 1316068562 - KARLIN, STEVEN, MD 1619248283 - AVIS, CALLIE, F.N.P 1477798106 - AKBAR, UMER, M.D. 1760619902 - CSIKESZ, COURTNEY, M.D. 1578906020 - Psychotherapy Practices Of North Kingstown, LLC 1396706420 - DORSEY, LORI 1477955839 - Bellevue Counseling LLC 1376747774 - Emma Pendelton Bradley Hospital (Lifespan) 1134496763 - THEROUX, SARAH, LMHC 1164809133 - SACRED HANDS MASSAGE, SACRED HANDS MASSAG 1609821404 - FISCHER, STACI ANN, M.D. 1831329655 - BUXTON, DAVID, MD 1861730624 - OWENS, SARAH, LMHC 1386856086 - TRELOAR, KATHLEEN, M.S. 1336347491 - FENNELLY, WENDY, P.A. 1841325818 - THAMES EYE GROUP PC 1013974104 - DETORIE, FRANK, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $1,723 $1,723 $1,723 $1,723 $1,722 $1,716 $1,713 $1,708 $1,707 $1,702 $1,696 $1,696 $1,692 $1,691 $1,691 $1,688 $1,686 $1,686 $1,685 $1,683 $1,682 $1,681 $1,667 $1,667 $1,667 $1,665 $1,663 $1,662 $1,661 $1,661 $1,660 $1,659 $1,658 $1,657 $1,655 $1,654 $1,653 $1,649 $1,648 $1,646 $1,639 $1,638 $1,638 $1,637 $1,636 $1,635 $1,630 $1,630 $1,628 $1,623 $1,622 $1,617 $1,616 $1,615 $1,615 $1,612 $1,608 $1,604 $1,604 $1,603 $1,601 $1,598 $1,598 $1,597 MedicaidManagedCare20160513.xlsx Page 77 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1710080361 - AZAR, JAMES, LP 1629082458 - KOHN, ROBERT, MD 1215223912 - LOWELL, JOHN 1508881319 - KUMAR, USHA, M.D. 1407070915 - CHAMPLIN, JOESPH 1891701967 - Jewish Family Service 1790747285 - BAILEY, RICHARD, LCDP 1669567962 - BOGUE, JOHN, D.P.M 1972755585 - CHARTIER, BECKY, LCDP 1679558266 - ZAIDI, NAJAM, M.D. 1720390669 - NIESSINK, KRISTIN 1700820578 - JONES, CURTIS, M.D. 1750400263 - PERRY, JOANN, P.T. 1033363601 - PARKER, BRANDI, COTTO 1568443992 - ASKLAND, KATHLEEN, MD 1477594901 - SMITH, ROBERT, M.D. 1811297369 - CARLONE, TIMOTHY, LMHC 1336298942 - SABO, NAFTALI, M.D. 1144434945 - SCHNEIDER, LEA 1770527491 - HYDER, MICHAEL, M.D. 1356351126 - ILER, LYNN, M.D. 1962491910 - APPLEMAN, MARK, M.D. 1548203797 - O'NEILL, JOSEPH 1659345015 - SULLIVAN, PATRICK, M.D. 1942290010 - RADLER, ERIC, M.D. 1245456532 - DR JOHN A FERRIS HEALTH CTR 1770849259 - COMPREHENSIVE COMMUNITY ACTION 1720061252 - CHAZAN, JOSEPH, M.D. 1033347315 - MISHRA, KAVITA, M.D. 1588808901 - DROZD, REMIGIUSZ, D.O. 1093745283 - SPARKS, LISA 1609820604 - IWAMOTO, SATORI, M.D. 1316987993 - EMERGENCY MEDICINE-HMFP@BIDMC 1417946898 - PALETTA, FRANK, D.M.D 1609071703 - CHUNG BRCAK, MINA, LP 1003871336 - ROBERTS, TODD, M.D. 1952470080 - MANSHARAMANI, NARESH, M.D. 1124168935 - BLOOMBERG, HILDA, LICSW 1831107457 - GIAMPAOLO, CASIMIRO, M.D. 1528479227 - PROVIDENCE FERTILITY INSTITUTE, INC. 1841632189 - SUNDIN, KRISTEN, LICSW 1639423197 - MORRA, DIANE, P.T. 1356392807 - BENNETT, PAMELA 1215021498 - OSBORNE, JOHN, M.D. 1760419675 - BANSAL, TEJ, M.D. 1194824508 - SMITH, RICHARD, M.D. 1174605208 - DIVISION OF TRANSPLANTATION AT RI HOSP 1235325259 - BAERLOCHER, JENNIFER, LMFT 1861661589 - WOOD, CAROLINE 1497836969 - HOCHBERGER, DANIEL, M.D. 1205064565 - FREEMAN, REBECCA, M.D. 1306139555 - MCKNIGHT, ERIN, M.D. 1841602539 - ESPOSITO, JOANN, LCDS 1053358770 - DWORKIN, LANCE, M.D. 1770794570 - MCENANY, SHAWN, MASTE 1306996830 - CASCIO, MARYANN 1154374981 - NIKOLOFF, MARIE, F.N.P 1669516589 - HAYDEN, KAREN, N.P. 1164753992 - BARRY, CYNTHIA, LICSW 1831369297 - MAESTRI, XRISTIN, N.P. 1639103708 - GRAUSE, MARIE, PCNS 1629041074 - MYLONAKIS, ELEFTHERIOS, M.D. 1144263971 - WILTERDINK, JANET, M.D. 1992745665 - GERINGER, ADELE, LICSW Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $1,594 $1,593 $1,591 $1,591 $1,589 $1,586 $1,577 $1,573 $1,570 $1,569 $1,569 $1,563 $1,562 $1,561 $1,556 $1,555 $1,554 $1,554 $1,549 $1,548 $1,548 $1,542 $1,541 $1,539 $1,536 $1,534 $1,531 $1,524 $1,524 $1,514 $1,513 $1,512 $1,505 $1,505 $1,500 $1,499 $1,498 $1,497 $1,495 $1,492 $1,488 $1,487 $1,485 $1,485 $1,483 $1,482 $1,481 $1,481 $1,480 $1,479 $1,478 $1,475 $1,474 $1,474 $1,470 $1,465 $1,464 $1,455 $1,452 $1,448 $1,447 $1,445 $1,442 $1,441 MedicaidManagedCare20160513.xlsx Page 78 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1083787816 - MUKAND, JON, M.D. 1225334881 - Bayside Counseling LLC 1902103021 - MARSELLA, JEFFREY, LMHC 1417943291 - CATALLOZZI, KENNETH, M.D. 1073777298 - WOLKE, JESSICA 1497158844 - PPC, INC. 1316210545 - MELLO, PETER, P.A. 1851491146 - DEMARCO, RENEE, LICSW 1942608476 - SHAHZAD KHURSHID MD 1366735441 - PARIKH, PARAG, M.D. 1629201967 - SWEET, AMY, LMHC 1376609180 - TSIARAS, WILLIAM, M.D. 1437156411 - LOWNEY, JOANNE, N.P. 1992869531 - NERO, DAWN, LP 1609055417 - ADEYEMI, DAWN, LICSW 1326222035 - WHEELCHAIR PROFESSIONALS LLC 1033496948 - NANKANI, DEEPA, M.D. 1164552725 - CODERRE, ELIZABETH, LMHC 1003071234 - DOAK, JEREMY, M.D. 1639189988 - SNELGROVE, KATHLEEN, P.T. 1558380600 - PETERSON, HEIDI, M.D. 1891701116 - SALLOWAY, STEPHEN, M.D. 1841515772 - FROEHLICH, ROSEMARY, M.D. 1598797037 - BASH, BASHAR, M.D. 1215953377 - MIRABAL, ERNESTO, M.D. 1124226501 - REED, BRIAN, M.D. 1174767552 - ADLER, ANN, LP 1285044305 - PETIT, SARA, N.P. 1740363043 - REYES, CELIA, M.D. 1053317263 - RIVERA, JORGE, M.D. 1851374508 - LAKE MISHNOCK FIRE CO 1457477655 - LAORENZA, ALEXANDER, LICSW 1487917381 - BELLAIRS, ELIZABETH, P.A. 1538275987 - ZELLER, KATHLEEN, M.D. 1710008743 - LACEY, DAVI, LMHC 1184638397 - JOHNSON, EILEEN, LP 1225235096 - GRAND, SANDY, LP 1932147360 - TROIA, DANIEL, LMHC 1225054976 - MEDYN, SUSAN, LICSW 1023043056 - HART, SUSAN HARPER, M.D. 1861589798 - BOSCIA, DAVID 1114156841 - GERBER, ALEX, D.O. 1992745350 - SUN, GLORIA, M.D. 1518154079 - WHEELER, CLAUDIA ANN, D.O. 1174557839 - AGUILLON-BOUCHE, ARTURO, M.D. 1235235250 - CHAMPAGNE, MARKLYN 1023166287 - DEALY, LESLIE, LICSW 1235314683 - BAKAITIS-GLOVER, TRISH 1033174008 - MOORE, HAROLD 1669418406 - TAMMARO, ANDREA, O.T.R 1104952761 - CHANG, VICTORIA, M.D. 1619934825 - MOSKOWITZ, PAULA, M.D. 1780697011 - LENIHAN III, RUSSELL, P.A. 1477980480 - REZNIK, HEATHER, P.A. 1093736910 - GASSMAN, JEFFREY, M.D. 1538397716 - NEVINS-HERBERT, CHRISTINE, M.D. 1821180621 - GOLD COAST PULMONARY & SLEEP 1720260805 - FRAKEY, LAURA, LP 1255616330 - ALBERTI, KRISTIN, N.P. 1255340022 - REEVES, MICHAEL, LICSW 1366525479 - BOLTON, PETER, M.D. 1740491752 - HILL, RICHARD, LCDP 1558679092 - WOLFE, KATHRYN, LMFT 1730285289 - GEUNES, PAUL Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $1,440 $1,434 $1,433 $1,433 $1,432 $1,427 $1,425 $1,424 $1,424 $1,420 $1,420 $1,418 $1,416 $1,416 $1,414 $1,414 $1,413 $1,413 $1,412 $1,411 $1,408 $1,408 $1,407 $1,406 $1,405 $1,405 $1,405 $1,403 $1,401 $1,400 $1,399 $1,394 $1,392 $1,391 $1,391 $1,390 $1,388 $1,383 $1,377 $1,377 $1,370 $1,368 $1,361 $1,358 $1,358 $1,354 $1,354 $1,354 $1,353 $1,353 $1,353 $1,351 $1,351 $1,346 $1,343 $1,342 $1,340 $1,340 $1,328 $1,328 $1,328 $1,327 $1,326 $1,325 MedicaidManagedCare20160513.xlsx Page 79 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1447281696 - GOLDIN, MAXINE, LICSW 1942310529 - CompEval & Treatment Services 1982807525 - BROWN, SHERI, N.P. 1053485185 - VINCENT, DEBRA, R.D. 1346363629 - MANSFIELD, LISA, LICSW 1942408943 - MANZOOR, KAMRAN, M.D. 1700903598 - RUSSELL, JEAN, LICSW 1215197355 - SWARTZ TOPOR, LISA, M.D. 1316984636 - HEREC, DAVID, M.D. 1851527659 - NUGENT, NICOLE, LP 1063615433 - MAYSON, SARAH 1972843530 - MCAULIFFE, CHRISTINE, LP 1255359279 - DELUCA, GEORGETTE, LMHC 1699175307 - RUSSELL, DIANA, A.U.D 1407844723 - MOORE, MARY 1295861847 - SPENCER, C JODY, LP 1972554053 - IANNUCCILLI, MICHAEL, O.D. 1487818886 - AL-QADI, MAZEN OTHMAN, M.D. 1003102302 - PALMER, CHRISTOPHER, D.O. 1710962055 - SAM, DAVID, M.D. 1033493945 - HILL, MELANIE, N.P. 1285722314 - VECCHIONE, MICHAEL, D.O. 1427369032 - COLLYER, HILLARY, N.P. 1720126113 - ROCHE, JOHN, LMFT 1083682355 - WEST COVENTRY FIRE DIST 1063409753 - JUTRAS, KAREN, N.P. 1780867333 - BROWNING, LYNNE, C.N.M 1649470493 - KIRK, JESSICA, M.D. 1871695114 - PERDRIZET, GEORGE, M.D. 1851725535 - UROLOGIC SPECT OF NEW ENGLAND 1952313728 - DUBUQUE JR, THOMAS, P.T. 1386658755 - PRICE, LAWRENCE, MD 1134403439 - SOARES, REBECCA, P.A. 1104934652 - ENDOCRINE TREATMENT CENTERS INC 1124025663 - GRAVES, THERESA, M.D. 1992706600 - WHELAN, CATHLEEN, M.D. 1982803359 - MUJAHID, NADIA, M.D. 1194945980 - PATHOLOGY GROUP 1184825192 - VOTA, MAURA, LMHC 1003828377 - CRELLIN, ANDREW 1841418464 - MARTIN, RITA 1134138951 - FARRELL, DAVID, M.D. 1114979986 - LONG, TIMOTHY, LICSW 1215234166 - MCCARTHY, ANDREW, N.P. 1063640225 - TODER, KILEY, M.D. 1578628236 - SILVIA, MICHAEL, LICSW 1255317020 - DOWLING, JOSEPH, M.D. 1225281694 - KIRBY, ANN 1154613909 - MICUCCI, KIMBERLY, LCDP 1043297880 - Miriam Hospital (Lifespan) 1528165941 - MOST, ALBERT, M.D. 1962805200 - ADAMS LABONTE, SUE, LP 1194763417 - The Providence Center For Counseling And Psychiatr 1710969027 - CHU, NELSON, M.D. 1053466490 - JANCI, MARGARET, RN 1083042071 - PLANTE, JAMES 1053351403 - JENCKES, CAROLINE, N.P. 1962689133 - FONDER, MARGARET, M.D. 1588687511 - POWRIE, RAYMOND, M.D. 1285787564 - CONROY, CATHERINE, LMHC 1912293515 - NORTON, ELIZABETH, LMFT 1396918256 - SANTANGELO, ANNE, LP 1619197936 - WOMENS PRIMARY CARE CENTER II 1922376367 - AZAB, NADER, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $1,325 $1,324 $1,323 $1,319 $1,318 $1,316 $1,316 $1,316 $1,313 $1,311 $1,307 $1,307 $1,307 $1,302 $1,300 $1,291 $1,289 $1,289 $1,289 $1,289 $1,285 $1,283 $1,279 $1,279 $1,278 $1,278 $1,277 $1,272 $1,271 $1,269 $1,269 $1,267 $1,266 $1,264 $1,256 $1,255 $1,253 $1,253 $1,251 $1,249 $1,249 $1,247 $1,242 $1,236 $1,233 $1,228 $1,225 $1,225 $1,225 $1,223 $1,221 $1,219 $1,218 $1,218 $1,217 $1,216 $1,213 $1,211 $1,206 $1,202 $1,199 $1,198 $1,196 $1,195 MedicaidManagedCare20160513.xlsx Page 80 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1639361744 - MEMORIAL HOSPITAL 1831137967 - DOOLITTLE, KATHLEEN, N.P. 1750325387 - GLADNEY, KAREN, R.D. 1386780393 - SLAIGER, SUSAN, LMHC 1427031061 - DEVI-WOLD, ANNE, M.D. 1477614683 - MILLAR, MARCIE, R.D. 1790990331 - HOUSNER, RICHARD, LICSW 1336303908 - RONEY, TERESA 1861556433 - MADSEN, MARY ELLEN, P.A. 1225036981 - LICATA, PAUL, D.O. 1407818966 - DUFRESNE JR, RAYMOND, M.D. 1407014483 - GASKINS, RONNESIA, LP 1790926152 - LAGASSE, AMY 1134432016 - ZIUD, HASSAN, M.D. 1013312560 - LYONS, JULIE, LICSW 1184723520 - OCCHIUTI, STEVEN, P.A. 1871695049 - GARG, MEGHA, M.D. 1609897420 - ZOLA, MICHAEL, DC 1184685182 - SEIFERT, CAROLE, LCDP 1659517787 - LOCKE, HEATHER 1316067127 - BANCROFT LAMUNYON, FAITH, LICSW 1467692640 - RAMOS, MICHELE, LICSW 1689650327 - SALZSIEDER, KENNETH, M.D. 1619364320 - Wellness Rhode Island, LLC 1568409886 - LONKS, JOHN, M.D. 1225073745 - ROSSER, SANDRA 1174586671 - LOUANGXAY, PHATHSADY, P.A. 1851621221 - CHICK, JUDITH, LICSW 1598704132 - ROUND, DONALD, LP 1083773626 - MOYNEHAN, JOHN 1316971492 - GRAHAM, JOHN 1932196953 - FERREIRA, MARIA 1902912777 - BARTOLOMUCCI, STEPHANIE 1073500591 - BURCHARD, BARBARA, N.P. 1063568194 - TAVAKOLI, HASAN, AC 1760465256 - TOWN OF LITTLE COMPTON 1932523800 - DISANTO, MARY ELLEN, R.D. 1043355993 - O'SHEA, DAWN, O.D. 1902921836 - GOLDSTEIN, SUE RITA, LICSW 1952407264 - WHITLATCH, HILARY, M.D. 1063505311 - CHOU, LIN, M.D. 1265765911 - OCONNOR, WENDY, P.S.Y 1629308507 - O BRIEN, ERIN, LP 1053352617 - RHODE ISLAND HOSPITAL 1750430500 - CARLONE, DENA, LICSW 1508185182 - LEMME, BROOKE, P.A. 1730357708 - FOLEY, MICHAEL 1740419183 - PARKER, ROBERT, M.D. 1992898977 - ROBERTS, BARBARA, M.D. 1235226879 - LECHNER, BEATRICE, M.D. 1730256165 - GAVIN, DONNA 1053633370 - JOSEPH R DOTOLO MD, INC C/O LIGHTHOUSE MED MGMT IN 1891822797 - WATERMAN EYE CARE, INC 1952500084 - NASONVILLE FIRE DISTRICT 1386679090 - BROWN, STEVEN, D.M.D 1871505867 - MURPHY, S DEBORAH, M.D. 1871540823 - RAMRATNAM, BHARAT, M.D. 1801952924 - BAZELAK, JEANNE 1194830323 - PRIMARY CARE CENTER OF PLAINVILLE 1881974392 - LAFONTAINE, MEREDITH, P.A. 1205942646 - FORTUNATO, DAVID 1326025008 - CONDON, MARILYN, P.A. 1861456295 - HARRINGTON, LISA, M.D. 1851677470 - CARDIOVASCULAR INSTITUTE-PROV Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $1,191 $1,190 $1,189 $1,188 $1,186 $1,185 $1,181 $1,181 $1,180 $1,179 $1,177 $1,177 $1,176 $1,176 $1,175 $1,175 $1,174 $1,171 $1,171 $1,168 $1,168 $1,167 $1,167 $1,164 $1,161 $1,156 $1,155 $1,153 $1,145 $1,141 $1,138 $1,135 $1,135 $1,133 $1,131 $1,130 $1,129 $1,128 $1,128 $1,128 $1,128 $1,128 $1,127 $1,124 $1,124 $1,121 $1,120 $1,113 $1,113 $1,113 $1,112 $1,111 $1,109 $1,105 $1,105 $1,103 $1,103 $1,103 $1,102 $1,102 $1,102 $1,099 $1,093 $1,086 MedicaidManagedCare20160513.xlsx Page 81 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1568767267 - BETTENCOURT, RACHAEL, P.A. 1518218882 - MYINT, ZEYAR, M.D. 1023267580 - HART, ELIZABETH, N.P. 1477843696 - WESTRICK, EDWARD, M.D. 1053536151 - GEARIN, MARY ELLEN 1295913242 - GOLDBERG, LAURA, M.D. 1528005949 - NORIS, MARYANNE, M.D. 1740328913 - WOLFE, MICHAEL, MD 1093071896 - FLEMING, RONALD 1750549622 - CABRERA, HENRY, M.D. 1033428099 - CRANDALL, MANDY, LICSW 1831391648 - ADAMS, CATHLEEN, MD 1134176886 - EIL, CHARLES, M.D. 1538265939 - GARCEAU, TAMMY 1285059287 - PROSPECT CHARTERCARE RWMC 1487986881 - LAVOIE, KRISTINA, LICSW 1225152085 - SOUTH COUNTY PULMONARY MED INC 1548557838 - YU, ALEX, M.D. 1528097383 - ROCKHILL, VIRGINIA, LP 1619963378 - BURKE III, CYRIL, M.D. 1750333654 - KATSH, SHELLEY, LICSW 1730343781 - GOULD, DAVID, M.A. 1508186354 - NIEMIEC, ELIZABETH, MD 1881845592 - MCNEIL, MELISSA, LMFT 1881773018 - CORNELL, BRIAN, D.P.M 1336135649 - QUERFURTH, HENRY, M.D. 1093057770 - SERRA PHYSICAL THERAPY 1962590232 - MEEA 1144510918 - YAKIREVICH, INNA, N.P. 1154719102 - BARRY, DANIELLE, N.P. 1508863432 - RITZAU, JENNIFER, M.D. 1841253150 - WILLIAMS, MARTHA, LP 1720491871 - Psychotherapy Practices Of North Kingstown, LLC 1629087564 - PATCH, PETER, LP 1043614886 - HOSSIN, TANIA, N.P. 1356789549 - RISTUCCIA, MICHELLE, P.A. 1952302697 - HART, ELAINE, N.P. 1497711030 - LEITE, DONNA, PCNS 1417011818 - RUBINSTEIN, CHRISTINE, LICSW 1376569202 - BROWN, CHRISTOPHER, M.D. 1083692396 - POGGI, JOHN, M.D. 1942571294 - MARTIN, BRIAN, P.A. 1841209210 - HETHERINGTON, NANCY, LICSW 1053523472 - Xu, Hong, AC 1770876922 - MARGOLIS, BENJAMIN, MD 1518956432 - IZZI, JOSEPH, M.D. 1881740322 - FRIEDMAN, JULES 1376706937 - MCDONALD, EDWARD, O.P.T 1821036120 - MANDELSON, PETER, M.D. 1902045834 - SMITH, JOE, M.A. 1447416839 - KOHLI, PRIYA, M.D. 1124144712 - OBRIEN, LISE, LICSW 1659671212 - ABHISHEK, FNU, M.D. 1679686117 - BEAUCHAMP, JOHN CAMERON, M.D. 1649254251 - LAFRANCE JR, WILLIAM, MD 1669570024 - HEATH, JASON, R.N. 1942224639 - GRACE, JANET, P.H.D 1003955634 - SABO, RHONDA, LP 1144362500 - THERAPEDIATRICS INC 1457344699 - COLBURN, MARNEE, LP 1588961197 - ELLISON, TODD 1679808505 - PIERCE, LOIS, R.D. 1598803629 - SHERIDAN, ROBERT, LICSW 1467709014 - EPOCH FAMILY MEDICINE Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $1,086 $1,085 $1,084 $1,084 $1,082 $1,080 $1,079 $1,077 $1,076 $1,075 $1,075 $1,074 $1,072 $1,064 $1,063 $1,063 $1,062 $1,061 $1,060 $1,058 $1,055 $1,052 $1,046 $1,045 $1,045 $1,044 $1,042 $1,034 $1,031 $1,029 $1,026 $1,025 $1,017 $1,014 $1,013 $1,012 $1,010 $1,009 $1,009 $1,008 $1,005 $1,005 $1,005 $1,003 $1,003 $1,002 $1,001 $1,000 $999 $998 $996 $995 $995 $993 $990 $987 $985 $983 $979 $978 $976 $975 $975 $971 MedicaidManagedCare20160513.xlsx Page 82 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1992876080 - KLIE, JACK, M.D. 1467531772 - BARBOZA, DONNA, LICSW 1639404635 - PROVIDENT PAIN & WELLNESS CENTER 1881862423 - GOJCZ, CAROLINE, LICSW 1962427617 - NEWELL LOYKO, CHRISTINE, LICSW 1811992076 - WHITE, LISA, P.A. 1790878858 - RICE, LOUIS, M.D. 1689706673 - Delta Consultants 1053682765 - FAVA, KATHLEEN, N.P. 1952653131 - EYE HEALTH ASSOCIATES INC 1073676912 - PORTELLA SELF, JUDY, LICSW 1972746550 - LEONARD, POLLY, D.O. 1063558443 - RICCO, RONALD 1922060466 - GATES, JONATHAN, M.D. 1841229465 - ANZIVINO, JENNIFER, LICSW 1972605350 - NGO, BAONHU, M.D. 1053344713 - FAGNANT, DANIEL, D.O. 1972540680 - CARTER, E JANE, M.D. 1912900879 - RADIE-KEANE, KATHIE, M.D. 1356395610 - ASHER, IRA, M.D. 1275618555 - KAPLAN, BRAD, D.M.D 1417266545 - CARROLL, NATALIE, P.T. 1366472011 - PUGLISI, GINA, M.D. 1568575173 - DUDLEY JR, SAMUEL, M.D. 1073809588 - SOUSA, REBECCA, LICSW 1689688582 - EPSTEIN LUBOW, GARY, MD 1447373196 - FITZGERALD COSTA, BETTINE, LICSW 1922094853 - EVANS, TRACY, P.A. 1245380559 - SAWYER, BETH, P.A. 1699942540 - ARMESTO, JORGE, LP 1952344533 - COHN, PETER, M.D. 1568719227 - SIMONS, BRITNI, M.S. 1851356216 - DAVOUDI, RAMIN, M.D. 1366614687 - REECE, REBECCA, M.D. 1376523829 - BRODSKY, CHERYL, M.D. 1457427353 - HUARD, COURTNEY, R.D. 1255370904 - HINES, YVONNE, M.D. 1063665750 - BROWN, WALTER, MD 1023218880 - KLUK, AUGUSTA, M.D. 1588061584 - FORTIN, NORMAN, LICSW 1528129103 - CURRAN, ROBERT 1245399609 - THOMPSON, BRADFORD, M.D. 1972831584 - GOFF, CORINNE, R.D. 1760438212 - BJERREGAARD, JUNE, N.P. 1811259948 - CASTORENA, FELIPE ARTURO, M.D. 1538142328 - GRISCOM, ANDREW, M.D. 1881744803 - PELCHAT, KAREN 1568597383 - MCELROY GRILLO, MEREDITH, LP 1497885669 - LUNG DISEASES & RESP CARE INC 1841334216 - HEALEY, JENNIFER, LMHC 1114226545 - SALDIN, DANIELLE, D.O. 1720073455 - WILDENHAIN, JOAN, N.P. 1316292378 - DOLE DAYIAN, M GRACE, LICSW 1477838324 - BECK, ALICIA, P.A. 1710290812 - MCCAULEY, BRIAN, M.D. 1063517456 - RAUKAR, GEORGE, M.D. 1881701209 - COHEN, NORA 1740418912 - MCCLURE, PHILIP, M.D. 1023129491 - BANDOLA, JOHN, M.D. 1356382170 - STONE, PEGGY, P.A. 1871598540 - NAVIX DIAGNOSTIX INC 1144314717 - S. COUNTY PULMONARY PHYSICIANS 1417378811 - SILVA, JENNIFER, N.P. 1861811358 - OSTEOPATHIC FAMILY MEDICINE Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $971 $969 $968 $968 $967 $966 $962 $961 $959 $957 $954 $952 $951 $950 $949 $948 $946 $945 $945 $940 $940 $939 $936 $933 $927 $927 $927 $927 $925 $918 $916 $916 $914 $913 $912 $910 $910 $909 $908 $908 $907 $899 $899 $896 $896 $893 $883 $881 $878 $877 $874 $873 $872 $871 $870 $869 $866 $860 $860 $859 $858 $858 $858 $856 MedicaidManagedCare20160513.xlsx Page 83 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1710983663 - HORWITZ, HAROLD, M.D. 1598740896 - RITA, JACQUELINE, LMHC 1699194746 - GARRIS, TERESA, F.N.P 1477755643 - JAMES, ELIZABETH 1598088684 - THURMAN, ALEXIS, LMFT 1457444655 - LI, LIN, M.D. 1700048790 - PARKER, ANDREA, M.D. 1700046885 - LOPRESTI, MARY 1346664505 - Wilder Therapy And Wellness 1801210125 - KILINSKI, MARY, LP 1245227925 - TAVARES, JOAO, M.D. 1831143023 - HIGH, PAMELA, M.D. 1497795975 - JEDSON, ALLISON, N.P. 1962686220 - Emma Pendelton Bradley Hospital (Lifespan) 1770685646 - KIZIRIAN, JANICE, M.D. 1871794636 - LAURITO, DENISE, LMHC 1225065394 - GAITANIS, JOHN, M.D. 1154360196 - NORDNESS, ROBERT, MD 1497888168 - ORAL SURGERY AND DENTAL IMPLANT CENTER 1902881337 - OPAL, STEVEN, M.D. 1114272465 - LOISELLE, RYAN, LICSW 1366569600 - PULEO, HOLLY, M.A. 1346417722 - KOSOFSKY, SONG-MIN, M.D. 1407840903 - BREX III, C JOHN, M.D. 1679687289 - HOLLMANN, PETER 1891985149 - SCHULTZ, STEPHANIE 1184847089 - GILBERT, RICHARD, M.D. 1215914171 - SARNI, ROBERT 1164636890 - AQUIDNECK PODIATRY 1487894325 - PTASZEK, TINA, LMHC 1659313047 - CARRANZA, TODD, MD 1306276712 - HALL, ELIZABETH, LP 1275977597 - ADAMS, LYNNE, LMHC 1245355676 - LORD, THIA, LICSW 1821415977 - DeSantis, Danielle 1922096981 - FELDMANN, MARTHA, F.N.P 1790715654 - LYSTER, MARY, M.D. 1114954302 - WAGGONER, KIMBERLY, LICSW 1780623470 - COLAGIOVANNI, STEVEN, M.D. 1336464734 - CANTILLO, EVELYN, M.D. 1851410690 - WEST GREENWICH COMMUNITY RESCUE 1932184132 - WEEDEN, KENNETH, LCDP 1437253655 - MCCORMICK, DAVID, P.A. 1962578617 - FLAXMAN, BERTRAM ALLEN, M.D. 1306095955 - SULLIVAN CONGER, KATHLEEN, RN 1811374739 - MURPHY, LEAH, N.P. 1689626947 - JACOBSON, JEFFREY, O.D. 1417032582 - WELCH, JOCELYN, LICSW 1396713947 - NAYLOR, KELLI, M.D. 1720288285 - RABIDEAU, NICOLE, O.D. 1750408084 - Bailey Associates Counseling & Training Center 1619216488 - RHODES, CHRISTINE, LICSW 1548571813 - CHAPMAN, KATIE, D.O. 1710089883 - POIRIER WOOLF, MICHELINE, N.P. 1083852180 - DORROS, CAROL, M.D. 1922049113 - HAUSMAN, RICHARD, D.O. 1154426732 - OCEAN ORTHOPEDIC SERVICES INC 1063788438 - PEREZ, ELENA, P.T. 1134420334 - VISITING ANGELS 1932148814 - CABRAL, MARY 1578503017 - RAO, UMA, M.D. 1811150238 - MCCLEARY, KATHERINE, M.D. 1376619239 - KENNEDY, MARY, LP 1588072581 - LEONARD, WENDY, R.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $853 $851 $850 $849 $846 $843 $841 $839 $836 $836 $833 $831 $831 $827 $826 $825 $820 $820 $818 $818 $815 $815 $814 $814 $810 $808 $808 $807 $807 $805 $799 $799 $799 $798 $797 $794 $794 $791 $790 $789 $788 $785 $784 $782 $779 $779 $778 $777 $774 $773 $772 $772 $771 $771 $770 $770 $763 $762 $758 $757 $754 $750 $746 $745 MedicaidManagedCare20160513.xlsx Page 84 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1750649596 - SPANAKIS, NICOLE, P.H.D 1083682512 - SABBOUR, HANI, M.D. 1538420740 - ROGERS, BRIAN, MD 1275574071 - PETRELLA, DIANE, LICSW 1417374562 - LOBELLO, ALBERT 1528209335 - MARTIN, JONATHAN, M.D. 1629140595 - GUILMETTE, THOMAS, LP 1376548867 - SCHNIRMAN, GEOFFREY, LP 1598884256 - DELUCA, LUISA, LMHC 1730193277 - SKOLY, STEPHEN 1528117363 - WHEWELL, ROBIN, R.N. 1831188374 - PATEL, SIMA, P.A. 1235103458 - IACONO, VINCENT, M.D. 1891938791 - Cordis Counseling 1518931393 - FONTES-BORTS, LUCIA, N.P. 1154684876 - BEVILACQUA, CATHERINE, P.T. 1285851543 - YAMMINE, JOE, M.D. 1760828701 - OB-GYN ASSOCIATES 1528339876 - GHAZARIAN, CAILYNE, P.A. 1538361704 - EAD, CORNELIUS, N.P. 1821160169 - LAMBERT, ELIZABETH, C.S.W 1679728018 - SALIM NAKHLA, PETER, M.D. 1912189002 - KENNETH H SALZSIEDER, MD 1205050036 - RAMPO, BARBARA, RN 1457534604 - MCVAY PT 1780868802 - RAMIREZ-TERRASSA, FELIPE, M.D. 1912136888 - BEAUPRE, RICHARD, LICSW 1871588046 - ENZER & ASSOCIATES, PC 1497925531 - MCLEOD, DONNA, LCDP 1528001534 - WEINER, LAWRENCE, LP 1184693434 - HAND, JOHN, M.D. 1356326326 - DIZIO, STEPHEN, PA 1700085073 - CONSIGLIO, MICHAEL 1598935611 - VINOVRSKI, TODD, M.D. 1639176357 - STOUKIDES, JOHN, M.D. 1184686388 - ZINNO, RONALD, M.D. 1295852010 - SULLIVAN, MELISSA, LICSW 1871515031 - BLISS, JOSEPH, M.D. 1689975518 - GUZMAN, LINDA 1417215690 - Katzberg, Kate, MT 1205941671 - MELLUCCI, DENISE, RN 1548272503 - MARSHALL, NANCY, LICSW 1073547162 - LAWRENCE, DEBRA, D.P.M 1982796272 - TAILLON, WENDY, LMHC 1609899608 - LYSAGHT, CARMEN, PCNS 1205877446 - GINSBURG, REBECCA, P.A. 1548297369 - REGAN, GARY, LICSW 1467495614 - TRUDEL, AMBER, RN 1013978634 - PATRICK K SULLIVAN 1134373194 - HINDLEY, PATRICIA, CRNP 1801032354 - FERREIRA, CHRISTOPHER, P.A. 1497721419 - DIBERNARDO, JOSEPH, P.A. 1033226444 - SICLARI, MICHAEL, M.D. 1306116405 - SCHIAPPA, ROBIN, N.P. 1316933757 - ROBINSON, CAROL, N.P. 1548562655 - BERUBE, KEITH, LMHC 1023211398 - KASHETA, KATHERINE, LICSW 1477540185 - MILLERICK JR, THOMAS, M.D. 1528041324 - WEYER, PATRICK, M.D. 1154484988 - CASSIDY, DONNA, LICSW 1225017486 - Emma Pendelton Bradley Hospital (Lifespan) 1225438716 - HARROW, AMANDA, N.P. 1548552797 - SEARS, CATHLEEN 1760896955 - MARINO, CHRISTINE, A.U.D Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $743 $742 $742 $741 $741 $740 $737 $734 $733 $732 $732 $730 $727 $725 $724 $722 $721 $718 $717 $712 $710 $704 $702 $702 $700 $699 $697 $695 $695 $693 $692 $691 $689 $689 $687 $683 $683 $683 $681 $680 $680 $680 $680 $680 $680 $678 $678 $676 $676 $673 $671 $669 $669 $668 $668 $663 $657 $655 $654 $652 $651 $650 $650 $647 MedicaidManagedCare20160513.xlsx Page 85 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1518941566 - FRITZ, GREGORY, MD 1295776870 - WEINSTOCK, MARTIN, M.D. 1861654915 - ZANDER, JEFFREY, LMHC 1104998772 - BENJAMIN, WALTRAUT, LICSW 1053434332 - CORRIGAN, ROBIN, LICSW 1881628568 - RICE, NICOLE, M.A. 1245527845 - SALLOUM, IBRAHEM, M.D. 1225118656 - BUSTER, JOHN, M.D. 1104017797 - HOFFMAN, SIGALIT, MD 1053465534 - MACDONALD, MALCOLM, M.D. 1114905528 - SMIGEL, KAREN, M.D. 1013059476 - HERARD, CHRISTIAN 1417260456 - LAPTOOK, REBECCA, LP 1659770642 - IMONAH, CHARLIE, F.N.P 1790806669 - CARCIFERO, LISA, LICSW 1164448205 - PENZA, HELENE, LMHC 1447376009 - Northern Rhode Island Community Mental Health Cent 1770804155 - COLE, KRISTIN 1891095253 - HUGHES, ASHLEY, P.A. 1760549430 - UNIVERSITY PHYSICAL THERAPY 1568528107 - KANE, MICHAEL, LICSW 1346266103 - ROSENE MONTELLA, KAREN, M.D. 1841302601 - THRAN, MATTHEW, M.D. 1568637296 - KANALY, CHARLES, M.D. 1386827780 - COLLINS, JENNIFER ELLEN, N.P. 1538366935 - Gershon Psychiatric Associates 1497771752 - MCNAMARA, JOSEPH, M.D. 1083638282 - BARON, JEFFREY, M.D. 1821189762 - QUINN, TONI, LMHC 1154351211 - GATEWAY HEALTHCARE INC 1205055308 - Child and Family Services, Inc. 1548484090 - KARASKO, ERICH, P.A. 1548230097 - MILESTONE REHAB CENTERS 1255581708 - HIANLOLAND FIRE COMPANY 1255337671 - GLINICK, STEPHEN, M.D. 1053330472 - MONTAGUE, BRIAN, D.O. 1588911457 - RENZULLI, BRITTA 1760888234 - MERCIER, KRISTEN, R.D. 1871549790 - HOLDEN, JOAN, N.P. 1710115480 - ONCOLOGY HEMATOLOGY ASSOCIATES LLC 1831275056 - CONRAD, SELBY, LP 1316964067 - FRAGOZA, DENISE, LICSW 1831368521 - HALL, SUSAN, N.P. 1720112964 - GOUVEIA, DIANE, LICSW 1588649644 - HOGAN, BRIAN, D.M.D 1528155074 - MCGOWAN, ELISABETH, M.D. 1477582971 - ANDERSON, MICHELLE, R.D. 1891197711 - GUSTAFSON, KIMBERLY, R.D. 1376779751 - AMOROSO, KRYSTAL, LICSW 1154625531 - NIGHTINGALE, BEATRIJS, LCDP 1770516262 - LAPTOOK, ABBOT, M.D. 1760559033 - CLARK, DORA, P.A. 1770611162 - Harmony Hill School, Inc. 1881727881 - JOHNSON, JULIE MARKWORTH, M.D. 1598051807 - JASOLOSKY, ELIZABETH, D.O. 1912217415 - NELSON, BETHANY, P.A. 1124217674 - MARISSA NEIS-GIMENEZ, MD 1013281963 - BOIE, CHRISTINE, APRN 1992804306 - WORTHINGTON, JAMES, M.D. 1366513962 - L'Europa, Robert, DC 1528055233 - LAURIA, PAMELA, N.P. 1982845657 - MORALES, EDUARDO, M.D. 1700928579 - THE INDEPENDENT WOMAN 1295751782 - STALLONE, MARTIN, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $645 $642 $636 $634 $633 $632 $630 $628 $627 $626 $623 $621 $619 $618 $618 $618 $618 $616 $612 $609 $606 $606 $606 $605 $598 $597 $592 $590 $588 $588 $587 $586 $586 $584 $581 $581 $580 $580 $579 $579 $579 $578 $577 $573 $572 $571 $571 $571 $568 $567 $566 $565 $565 $560 $560 $560 $559 $557 $557 $553 $553 $548 $547 $546 MedicaidManagedCare20160513.xlsx Page 86 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1417959610 - BAIG, MIRZA, M.D. 1871820563 - LIMA, JOSEPH, LCDS 1346447349 - DOYLE, KATHLEEN, PCNS 1669446456 - GAGNON, SHERRY, N.P. 1558703710 - WEINSTOCK, LAUREN, LP 1649359704 - CONKLIN, ELIZABETH, M.D. 1447548540 - SHUEIB, ALI, M.D. 1316018450 - PHILLIPS, ALEKSANDRA, MD 1508941089 - SHANNON, MARK 1306034244 - SILVER SPRING WOUND CARE CLINIC 1043315476 - PILOTTE, AMY, N.P. 1588757264 - OBRECHT, CAROLINE, LICSW 1780870691 - BORGE, LISA, P.A. 1790791663 - ROSE, ROBERTA, LICSW 1174576193 - GARRAHAN, WILLIAM, M.D. 1326076795 - PARKER, PRIOR, M.D. 1285815787 - LOPEZ, MARTHA 1194739607 - MARINO JR, LOUIS, MD 1366753865 - HEINER, DOUGLAS, M.D. 1598726689 - ROBBINS, JEAN, LICSW 1720353071 - CARBONE, MELISSA, LCDP 1013975952 - GILARDETTI, ROBERT, M.D. 1043435191 - PASSANTINO, DIANE, LICSW 1487893939 - BACANI, DEBORAH, N.P. 1477531531 - WEAVER, GAYLE, M.D. 1811943525 - CHOFAY, DANA, M.D. 1689066805 - Polaris Counseling And Consulting LLC 1235530551 - GRAYSON, PETER, LCDP 1184961807 - WELLER, KATHRYN, R.D. 1750331682 - PENACHO, ANDREA, O.T.R 1679910988 - WILDER, BRIDGET, P.A. 1588601330 - PANCHOLI, YOGESH, M.D. 1508840612 - SISKIND, MARK, M.D. 1043348550 - BARNDS-BROWN, JOSEPHINE, P.A. 1275698839 - ARTERY, MARY, N.P. 1932212735 - JOBIN, RICHARD, LICSW 1609992197 - GAYNOR, MEGAN, N.P. 1942537832 - OLIVEIRA, MARIA 1528053634 - AZER, WADID, M.D. 1669602835 - MOISAN, JOSEPH, P.A. 1124139936 - BASTAN, MARK 1427023977 - JI, NINA, M.D. 1437583739 - Emma Pendelton Bradley Hospital (Lifespan) 1558792663 - MILNER, MARY, R.N. 1427045905 - MCGOOKIN, EDWARD, M.D. 1407936875 - WHALEN, SARAH, P.A. 1093121394 - WALTHER, MICHAEL, LP 1952561037 - AKERS, JESSICA, LICSW 1871514471 - SERABIAN, LINDA, LICSW 1821185778 - FOSTER, PAULA 1093746539 - SIMKEVICH, JOHN, D.M.D 1972672699 - LOVITZ, LEE, D.P.M 1316295298 - MOREAU, MELISSA, N.P. 1053574111 - BLANCO, MEIGHAN DINGLE, N.P. 1801955547 - BRUSINI, JEFFREY 1215915228 - MENDELSOHN, DEBORAH, PCNS 1326052077 - CARPENTER, LINDA, MD 1598931164 - BAIYEE EBOT, EYONG NDIP E, M.D. 1033130505 - BERGER, ERIC, M.D. 1548214141 - PERRY, KEITH 1649258708 - WEBER, SYLVIA, PCNS 1346431376 - DODDS, HEATHER, MD 1609853290 - GOLDFARB, ANDREA, M.D. 1295816247 - EAST PROVIDENCE SENIOR CENTER Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $546 $545 $545 $544 $542 $542 $540 $540 $540 $538 $536 $536 $535 $534 $533 $532 $532 $531 $531 $530 $528 $526 $525 $523 $520 $518 $517 $512 $510 $509 $508 $508 $503 $502 $500 $499 $495 $492 $491 $485 $485 $485 $484 $482 $481 $481 $476 $474 $473 $471 $470 $469 $467 $467 $467 $464 $464 $459 $459 $452 $452 $450 $450 $448 MedicaidManagedCare20160513.xlsx Page 87 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1598195497 - HIRSHBERG, SHIRA 1477715209 - KLUFAS, LYDIA, M.D. 1528099165 - DONAGHEY, KATHLEEN, N.P. 1164528337 - STONE, WILLIAM 1982907580 - QUADROS, KIMBERLY, LMHC 1881920908 - MCNAMARA, ROBIN, P.A. 1376535179 - DUGGAN, ANN, C.N.A 1326142332 - PHELAN, STEPHEN, M.D. 1457328221 - HERNANDEZ, RICHARD, P.A. 1558612051 - GALLAGHER, LAUREN, N.P. 1578581443 - OUR LADY OF FATIMA HOSPITAL 1316966393 - CHAN, DO, M.D. 1760473177 - DUHAIME, JOHN, D.M.D 1750345146 - RODGER, JOHN, P.A. 1316127426 - Communities for People 1902969058 - KEAVY, PAULA 1104971902 - MCLAUGHLIN LENTZ, PATRICIA, LICSW 1790056430 - LAVOIE, MATTHEW, P.A. 1053476580 - WINCZE, JOHN, LP 1932339959 - BRIONES, REMUEL, M.D. 1629138268 - JOHNSON, ROSALYN, LICSW 1134484058 - SKITT, TARA, LICSW 1326140120 - OBGYN ASSOCIATES 1851615322 - DRUMMY, CHRISTOPHER, LICSW 1063541233 - LYNCH JR, KENNETH, N.P. 1083919377 - WALL, JANE, LMFT 1790920668 - DaPonte, John 1396085700 - ATTIA, SAMEH, M.D. 1376808766 - LINE-NITU, ERIKA, D.O. 1891730651 - COUSINEAU, AMY, LICSW 1770758419 - LOKICH, ELIZABETH, M.D. 1013308188 - LATIN ADULT DAY HEALTH CARE CENTER 1184971038 - HIPPCHEN, ANNA, N.P. 1669563698 - Gateway Healthcare, Inc. 1699719435 - VAILE POLOCHICK, HEATHER, LICSW 1962465245 - DAVID A JOHNSON 1407854128 - PHARMAKIDIS, ANGELO, M.D. 1639199086 - ARCHAMBAULT, DENISE 1053370247 - FIRST COMMUNITY CARE 1548497993 - EVANS, LOUIS, LCDP 1265484810 - WEST RIVER ENDOSCOPY 1982758207 - PETER J BELLAFIORE MD C/O CPM 1457365363 - CANDOW, DAVID, M.D. 1518264779 - TOHER, RYAN 1730293424 - LLADO, LEANNE, P.A. 1518144351 - HANSEN, MICHAEL, LP 1457391765 - EASTMAN, SHARON 1821378662 - HAGIN, SARAH, LP 1114045697 - M DAVID BEITLE MD 1770503013 - EMAUS, SUSAN, P.A. 1619026820 - BOYD, KATHLEEN, LICSW 1972616019 - HURTEAU, BRETT, D.O. 1144378761 - BARRESI JR, JOSEPH, LICSW 1922264985 - MAROTTO, SARAH, R.D. 1215184049 - EDWARDS, ANTON, M.D. 1982911715 - STANLEY, NEEKA, LICSW 1598982910 - MAZER, JEFFREY, M.D. 1023444759 - RAIMONDO, MARIANNE, LICSW 1386616456 - TOKARZ, VALERIE, D.O. 1487904587 - BUONGIORNO, GREGG, LP 1114207594 - SYPOLE, JILLIAN, LICSW 1568641397 - YANG, MELONY, N.P. 1306819867 - OCONNOR, FRANCIS, M.D. 1598061293 - VOHRA WOUND PHYSICIANS OF FL LLC Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $447 $445 $445 $442 $442 $439 $438 $434 $434 $431 $430 $430 $429 $429 $428 $427 $426 $426 $426 $426 $425 $424 $421 $421 $420 $420 $417 $416 $416 $415 $415 $412 $411 $410 $405 $405 $404 $404 $402 $401 $400 $397 $397 $396 $394 $393 $392 $391 $391 $391 $390 $390 $389 $389 $388 $387 $386 $386 $386 $384 $383 $383 $382 $381 MedicaidManagedCare20160513.xlsx Page 88 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1790856888 - PROVIDENCE CARDIOLOGY INC 1619292349 - COSTA DOWD, PAMELA, LICSW 1093849036 - COMMUNITY ASTHMA PROGRAM @ RI HOSPITAL 1497804397 - PIERCE, GREGORY, P.A. 1437140860 - KELLY, ROBERT, M.D. 1023212792 - POTTER, ORNELLA, MD 1588622369 - WANEBO, HAROLD, M.D. 1811185721 - JACKSON, DONALD 1588792790 - MANNING, HOLLY, LP 1770797821 - KIDNEY HEALTH CENTER OF EAST PROVIDENCE 1558482372 - CRAYONS CHILD CARE & FAMILY SERVICES, I 1790782225 - CIOFFI, WILLIAM, M.D. 1952667743 - FROST, KAREN, RN 1508827593 - ATIA, AHMED, M.D. 1093848327 - SSTAR OF RHODE ISLAN D INC 1942239553 - ARCANGELI, THOMAS, LICSW 1174570345 - ALDAY, CAROLINE, LP 1346452638 - SALISBURY, LISA, M.D. 1265486443 - MCNICOLL, LYNN, M.D. 1316349251 - MAHER, KRISTEN, O.T.R 1518214774 - TURNER, LISA MARIE, N.P. 1487601431 - WELESKO, MARY BETH, N.P. 1649335209 - CONSTANTINO, NICOLE 1356389571 - FAMIGLIETTI, BRUCE EDWARD, M.D. 1316977432 - COSTA, MICHAELLA 1598841058 - BIERNACKI, JOHN, D.M.D 1386690576 - QUINN, CHRISTOPHER, M.D. 1144226994 - BUTTERFIELD, JENNETTE, N.P. 1518939388 - ELSON, MARTIN 1255627279 - Emma Pendelton Bradley Hospital (Lifespan) 1942546403 - BARRETT, ETHAN 1114957701 - TRACEY, DAVID, P.A. 1407862980 - CHADHA, AJIT, M.D. 1467413898 - CANNISTRA, LAURALYN, M.D. 1235185034 - MILLS, KRISTEN, LMHC 1710934120 - FLEURANT, DENISE, LMFT 1215984257 - NANDA, AMAN, M.D. 1669404190 - D'AGATA, ERIKA, M.D. 1962492264 - FIORENTINO, JAMES, P.A. 1598752024 - LEY, CHRISTOPHER, M.D. 1104196609 - OMARA, MICHAEL, LMFT 1265743009 - ZOUEIN, ELIE, M.D. 1811948193 - IACOBBO, ALERINO, O.D. 1497811707 - KELLY, LUANN, N.P. 1902806219 - PERRELLI, W VINCENT, M.D. 1376890145 - WOODFORD, THERESE, CRNP 1306948286 - THOMAS, BUDIO 1619201720 - FALCONE, MARGARET, LCDP 1083600423 - FRANCHINA, KATHLEEN, N.P. 1699846832 - ADAMS, JEROME, LP 1952704561 - KOUKOULARIS, OLIVIA, P.A. 1588639082 - JALBERT, CHRISTOPHER 1801297494 - TAHMASSIAN, ARMINE, O.D. 1699893198 - ROONEY, KATHLEEN 1578726261 - RADIOSURGERY CENTER OF RI 1043218159 - GOODMAN, GLEN, M.D. 1447419437 - DARGUSH, MAEVE, N.P. 1386059418 - LAWTON, MARTHA, LICSW 1942696844 - RI CLINICAL SERVICES 1255509212 - CHANDLEY, JANE, N.P. 1700176849 - ASPIRE DERMATOLOGY LLC 1275886228 - PAZ, JUDY, LICSW 1346454022 - LEDUC, KARIE, LICSW 1245261759 - CLANCY, LYNDA, N.P. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $381 $380 $380 $379 $378 $377 $375 $375 $375 $374 $373 $372 $371 $369 $369 $369 $367 $365 $362 $361 $361 $361 $360 $356 $356 $356 $354 $353 $351 $351 $347 $347 $345 $345 $344 $343 $343 $342 $340 $340 $338 $336 $335 $333 $332 $331 $329 $329 $328 $324 $324 $323 $321 $319 $315 $314 $314 $313 $313 $311 $311 $310 $309 $308 MedicaidManagedCare20160513.xlsx Page 89 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1538144126 - WILEY, BRIAN, M.D. 1588791982 - ASPINALL, KATHLEEN, A.U.D 1700811585 - CONNOR JR, FRANCIS, D.D.S 1043598071 - MCDONALD, GAIL, A.U.D 1093110967 - COLLIER, EMILY, N.P. 1275544504 - SPIRITO, ANGELICA, LMHC 1366602179 - BRAYBO, LYNAE, M.D. 1497093470 - North American Family Institute Inc 1235262346 - BRETT, JON, LP 1841211554 - HUGHES, PAULA, P.A. 1356315576 - OLIVERIO, SUSAN, M.D. 1871627950 - KELLEHER, EMILY, LMFT 1548391824 - SZTYKOWSKI, TADEUSZ, C.A. 1164438354 - GLAUDE MARCOS, AMY LEE, P.T. 1003806167 - RAPOSO, FATIMA, O.D. 1083033187 - PELOQUIN, DAWN, F.N.P 1619954104 - EAST COAST PRIMARY CARE 1326110545 - GORDON, CATHERINE, M.D. 1568410983 - BANKI, MOHAMMAD, D.M.D 1962742353 - SLATER, ELLEN, N.P. 1649333857 - VERMA, TILAK, M.D. 1700154796 - COOBMS, MATTHEW, N.P. 1942203690 - ROSENZWEIG, ANDREW, MD 1114184967 - ROBBINS, KAREN, M.D. 1578538088 - YOUNG, STEVEN, D.D.S 1184681082 - MUETTERTIES, MARK, M.D. 1902011174 - BAKIOS, STEPHEN, D.D.S 1891813945 - SCITUATE AMBULANCE & RESCUE CORPS 1710313945 - OCEAN STATE WELLNESS CENTER, PC 1366480592 - JOHNSON, MICHAEL, M.D. 1003083510 - JOSEPH CENTOFANTI MD 1952562647 - GHEEWALA, NEIL, M.D. 1518969708 - LAMBERT, JARVIS, M.D. 1396996534 - TOTALHEALTH, LLC 1912265323 - EMMA PENDLETON BRADLEY HOSP/PR 1932210341 - GOTTFRIED, MICHAEL, DC 1477711562 - EIDAM, KRISTIN, A.U.D 1942578885 - SWENSEN, CHERYL, LCDP 1770601668 - SAMUELS SINCLAIR DENTAL 1942412655 - PURVIS, WARREN, M.D. 1578796249 - ANDERSON, KYLE 1770760993 - Group by Design LLP 1063713030 - CAVAZZA, CARA, N.P. 1346345386 - SUTHERLAND, I ANTOINETTE, M.D. 1689693343 - STANLEY STREET T & R-PROF FEES 1689796005 - MELANSON ROSE, FRANCINE, LICSW 1265497879 - RESNICK, STACI, M.D. 1528381530 - HURD, SUSAN, LMHC 1992752638 - SPARHAWK, DANA, M.D. 1720068307 - COMEAU, DONNELLA 1851615553 - DEFILLO-DRAIBY, JULIO, M.D. 1831134469 - SOKOLOFF, CHRISTINA, PCNS 1700015104 - KAPPLER, KATHLEEN, N.P. 1619989829 - FITZELLE JONES, MARY, LICSW 1952378507 - LAZARUS, BRUCE, M.D. 1659662831 - PUTHAWALA, MOHAMEDTAUQIR, M.D. 1790912400 - COLLINS, KAITLIN, N.P. 1396046694 - VELASQUEZ KHO, ERWIN 1548517915 - WILLIAMS, LISABETH, R.D. 1164861175 - MCDONOUGH, KIMBERLY, N.P. 1184610636 - HARBAR, OLGA, N.P. 1538387378 - LEE, CATHERINE, MD 1598026650 - PENARDO, SUZANNE 1467547661 - FEDORCUK, ANGELA, D.P.M Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $307 $306 $305 $303 $303 $301 $300 $299 $299 $299 $299 $295 $293 $293 $293 $293 $292 $291 $291 $291 $291 $291 $290 $290 $290 $288 $287 $285 $285 $285 $280 $279 $278 $278 $277 $276 $275 $273 $273 $271 $271 $270 $270 $269 $268 $267 $266 $265 $264 $264 $261 $258 $258 $255 $255 $254 $253 $252 $251 $250 $249 $247 $247 $247 MedicaidManagedCare20160513.xlsx Page 90 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1427458462 - MELLO, AMY 1801836267 - SETTE, MARY, N.P. 1639120561 - GUPTA, RAKESH, M.D. 1578737615 - CAI INTERNAL MEDICINE GROUP A STAT MEDICAL BILLING 1437110921 - CHASE, KATHLEEN, LICSW 1316941990 - MEEHAN, JOHN, M.D. 1598193484 - GOMES, LYNNE, N.P. 1710393046 - CONELEA, CHRISTINE, LP 1275501280 - PFITZENMAYER, JILL, LP 1699811760 - RAYMOND, MARY, LMFT 1497763460 - HARRIS, MARTHA, LICSW 1144259151 - COOPER, GORDON, LMHC 1518060300 - FORTUNA, ROBERT, M.D. 1528393345 - SAQUET, NICOLE, N.P. 1972883312 - SCEERY, NANCY, R.D. 1295737666 - PROVIDENCE COM HLTH CTRS 1336102441 - BARAKAT, ABDUL, M.D. 1033419858 - BERANBAUM, RANDI-BETH KONIKOFF, R.D. 1962639377 - NRI MEDICAL SERVICES INC 1578538377 - GAETA, JOSEPH, M.D. 1972768174 - CHILDRENS NEURODEVELOPMENT CENTER(CNDC) 1265689855 - HOLT, MOLLY, NP 1750475992 - GAUTHIER, EDWARD 1215204698 - FRAZA, NICOLETTE, R.D. 1669523098 - ADVANCED FOOT SPECIALISTS-N. SCITUATE 1184980906 - SEIDEL, PATRICIA 1760712616 - FERNANDES, JACQUELINE, N.P. 1982616371 - SANDERS, JULIE, LICSW 1538288527 - KEENAN, EDWARD, LICSW 1619291176 - CHADWICK, KATE, N.P. 1447562830 - ROBITAILLE, DEBORAH, LICSW 1194877704 - LYNN H SOMMERVILLE MD PHD 1699844324 - GINSBERG-PELTZ, JULIEN, M.D. 1063422673 - SOLBERG, TANYA KAY, R.D. 1942616719 - MULLINS, JESSICA, N.P. 1942283825 - DAVID, SEAN, MD 1801832902 - COYLE, MARA, M.D. 1225430820 - ANTRANIGIAN, ARMENAG, P.A. 1295928166 - WELCH, PAULA, N.P. 1003807397 - GUPTA, KRISHANU 1629056098 - Bailey Associates Counseling & Training Center 1902975451 - LYON, DEBORAH, A.U.D 1033158035 - MCGOVERN, TERENCE, M.D. 1720004476 - Cayer + Cayer LLP 1639165004 - ASANTE, EVELYN, N.P. 1205007226 - DENIS, MICHELINE, M.S. 1174558951 - CLIFFORD, JOSEPH, LICSW 1356461073 - ANTHONY J. BARONE MD, LLC 1144304676 - SANTANA, ANCHA, LMHC 1548215338 - LOSIKOFF, PHYLLIS, M.D. 1447214291 - RUGGIERO, DAVID, D.P.M 1154478170 - WRIGHT, THOMAS 1275844573 - CAMPBELL, CALEB, M.D. 1639209562 - MARSELLA, LINDA, C.N.A 1467548065 - MARIORENZI-BARONE, MARIA, C.N.A 1720347123 - PROPERT, KIMBERLY, N.P. 1538599014 - LE, JENNIFER, O.D. 1497726517 - LINCOLN RADIOLOGY INC 1922132190 - MELLO, JAMES, M.D. 1538407804 - LEUROPA, TALIA, N.P. 1609877489 - BRASSARD, PETER, M.D. 1154452597 - DIAGNOSTIC MEDICAL SYSTEMS INC 1083839914 - SODERBERG-GOMEZ, KAREN, N.P. 1841389624 - SAMARTANO JR, JOSEPH, D.D.S Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $246 $246 $242 $239 $235 $235 $234 $233 $232 $232 $232 $232 $231 $230 $229 $228 $228 $227 $227 $227 $226 $226 $225 $225 $223 $223 $222 $222 $221 $221 $221 $220 $218 $218 $217 $217 $216 $215 $214 $213 $212 $212 $211 $208 $208 $207 $207 $206 $205 $205 $203 $202 $202 $197 $197 $196 $195 $195 $195 $194 $194 $193 $190 $189 MedicaidManagedCare20160513.xlsx Page 91 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1972679686 - HEPPNER, MARJORIE, LP 1205145240 - LAMPORT, SARAH ROSE M, N.P. 1700865094 - MOBILEXUSA 1649257056 - MULLIGAN, DANIEL, P.A. 1568453413 - PADBURY, MARY, N.P. 1457598088 - JAYANTI, RAVI, M.D. 1982917647 - SWENSON, REBECCA, LP 1437179413 - RASILE, DEBORAH, LP 1134191836 - MINUTECLINIC LLC 1053595322 - MCLAUGHLIN, NICOLE, LP 1609897693 - HANNA, WAGIH, M.D. 1821438524 - SOUTHERN NEW ENGLAND EYE INC 1326100900 - STEWART, CHRISTINE LYNN, A.U.D 1932360666 - PR TIPIRNENE MD INC 1811242043 - SHUKLA, KHUSHBU, M.D. 1851367155 - WU, EDWARD, M.D. 1346228988 - SAN ANTONIO, RICHARD 1306151600 - EMPLOYEE AND OCCUPATIONAL HLTH SPEC CLIN 1558752014 - Northern Rhode Island Cognitive Behavioral Therapy 1598807752 - HUMAN SERVICES CONSULTANTS LTD 1427034123 - JELALIAN, ELISSA, LP 1285631424 - LAVIN, MARY, N.P. 1689788358 - SALISBURY, AMY, PCNS 1922046218 - WEBSTER, ROMI, M.D. 1205264520 - BAILLARGEON, ERICA, N.P. 1295714806 - BATRA, KERRI, M.D. 1184953044 - O'Brien, Timothy, AC 1265503395 - DEMOLLES, ALEXANDER, AC 1104010032 - BROADWAY MEDICAL TREATMENT CENTER 1508095951 - SCHLANGER, LAUREN, M.D. 1295010213 - GOUVEIA, TANYA, LCDP 1124212055 - MCPHILLIPS, JANE, N.P. 1497810683 - BLOOM, JUDITH, LICSW 1326022369 - BROWN, LARRY, MD 1982742557 - ROLAND J DESMARAIS MD 1649527995 - GOMES, SONIA, M.S.W 1356691430 - DOAN, KELVIN, C.C.C 1497981393 - HEFLIN, REBECCA, N.P. 1578619532 - SOCCIO, KRISTIN, N.P. 1639147440 - MCCONNELL, TONYA, LICSW 1003947730 - NELSON, J WENDY, LMFT 1699758623 - BURKE, ROBERT, M.D. 1104132943 - TUFANO, KELLY, LMHC 1679684062 - STEVENS, STEPHANIE, P.A. 1134285257 - PAGLIARO, DAVID, LMHC 1285710988 - NILSSON, GARY 1730159500 - KASSABIAN, LIBARID 1144225673 - INDEGLIA, ROBERT, M.D. 1508850975 - SOSA, JESUS, M.D. 1942327481 - SCAGNELLI, ALEXANDER, MD 1851499529 - FIASCHETTI, DAVID, D.D.S 1891088480 - MARTIN, SHEILA, N.P. 1023278157 - LEONARD, KARA 1043230386 - GALINDO, AMY, N.P. 1205075876 - TOVAR, HEATHER, LCDP 1750479283 - ADDO, THEOPHILUS, M.D. 1851604029 - COOPER, KATRINA, LICSW 1699864470 - D'ANGELO, LUCIA, O.D. 1851580377 - HEALTH DRIVE PODIATRY GROUP 1790851590 - HOME & HOSPICE CARE OF RI 1366875825 - LIND, LORI, O.T.R 1558328419 - KAUFMAN, RANDAL, M.D. 1871856484 - BALDWIN, RACHEL, LP 1205076171 - NAH, YU JIN, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $188 $188 $186 $186 $183 $183 $182 $182 $182 $181 $179 $178 $178 $176 $175 $175 $174 $173 $173 $172 $171 $171 $171 $168 $167 $166 $166 $165 $165 $165 $162 $161 $161 $161 $160 $159 $159 $159 $158 $158 $158 $157 $156 $155 $155 $154 $154 $154 $153 $153 $152 $151 $151 $151 $151 $147 $146 $146 $146 $145 $145 $145 $144 $144 MedicaidManagedCare20160513.xlsx Page 92 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1861647497 - STONE, KRISTEN, LP 1912335662 - PENDLETON, KAREN, N.P. 1598101925 - KELLIHER, PHYLLIS, N.P. 1396928669 - MESIHA, MENA, M.D. 1871676668 - ALESSI, JOSEPH 1437487139 - SKJONG, CHRISTIAN, M.D. 1275530719 - FANTES, JACKIE, M.D. 1912082561 - COASTAL MEDICAL IMAGING 1841268679 - LANDRY, ROLAND, M.D. 1104169929 - COSTELLO, KEVIN 1043476146 - LAM, EDA WING-HING, O.D. 1154459758 - CHEKRALLAH, DIANA, M.A. 1376837930 - HORN, ELIZABETH FRANCES, M.D. 1538431036 - ALVIN C. BACON, INC. 1134414154 - PETITO ORAL SURGERY 1164504882 - MECHREFE, ADIB 1437354982 - ALFRED PAUL 1992816169 - MAHON, SELWYN, M.D. 1144331968 - NADRA, ANDREA 1023208279 - ERKLAUER, PETER 1013317247 - TWOMBLY, JESSICA, F.N.P 1558364604 - WEINBERG, MARC, M.D. 1508905365 - DELGUERCIO, MARIANNE, N.P. 1275823809 - FALU, HERMAN, LCDP 1750677514 - KIRCHNER, ALEAH, P.A. 1861551376 - DONDEY, MITCHELL, LP 1356306211 - WARSHAW, JAMES, M.D. 1740216381 - MARVELL, LAUREN, N.P. 1285839142 - BAYSIDE ENDOCRINOLOGY, INC. 1417138850 - CARRELLAS, ROBERT 1073516654 - RADIOLOGY ASSOCIATES INC 1689944282 - ZERRENNER, TAMATHA, LICSW 1073530861 - MACLARY, STEPHANIE, P.A. 1215933908 - ALTURA, RACHEL, M.D. 1144270398 - GOMAN-BASKIN, ELINA, O.D. 1649590332 - S.COUNTY HOSPITAL CANCER CENTER 1750367868 - NASSAU, JACK, LP 1871540666 - SCHRAGER, HARRY, M.D. 1942399423 - AUDIOLOGY & SPEECH PATHOLOGY 1801977848 - BERENSON, RUTH, LICSW 1225457138 - NIGHTINGALE, MEGHAN, N.P. 1306060397 - WORTHEN, SUSAN 1508890260 - EHSAN, AFSHIN, M.D. 1942542469 - SEELIG, ALLISON, N.P. 1598072621 - PHILBIN BENNETT, SHARON MARIE, N.P. 1932508082 - CORMIER, KATHRYN, P.T. 1134469901 - PROCOPIO, JOANNA, R.D. 1740484625 - GLIEBERMAN, LINDA 1598827651 - KOLBERG, IRENE, N.P. 1114995529 - ALLEN, GEOFFREY, M.D. 1366750317 - OLIVER, HOLLAN 1962514869 - JARBEAU PETERSON, LISA, LMHC 1831178557 - MILLER, KEVIN 1447453030 - CALDWELL, CRAIG, LICSW 1457402372 - BAKER, KATE, LICSW 1215061742 - KOCH, DONALD, LICSW 1245303320 - SOBOTA, MINDY, M.D. 1619901147 - FIELDS, CLIFFORD, D.O. 1376746156 - NORTHEAST INTERNAL MEDICINE, INC. 1073837050 - VISITING ANGELS 1275535486 - GABRY, MARK, M.D. 1063518702 - SHIN, VICTOR, M.D. 1194856351 - PIERCE, BRENDA, D.D.S 1255670352 - OUHRABKA, JILLIAN Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $143 $143 $143 $141 $140 $140 $140 $139 $139 $139 $138 $137 $137 $136 $136 $135 $135 $135 $134 $134 $133 $131 $130 $129 $129 $127 $126 $126 $125 $124 $123 $123 $120 $119 $118 $118 $116 $116 $116 $116 $116 $116 $115 $115 $114 $114 $112 $112 $111 $111 $111 $110 $110 $110 $110 $110 $110 $110 $110 $108 $108 $108 $108 $106 MedicaidManagedCare20160513.xlsx Page 93 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1821493982 - GINZBERG, NICHOLE, LICSW 1730488230 - BRAGGER, AMY, R.N. 1669590295 - WIH FACULTY PHYSICIANS INC 1720044472 - BREUING, KARL HEINZ, M.D. 1326201807 - DARIA, SONYA, M.D. 1447233283 - BENDER III, GEORGE, M.D. 1255594081 - SIMONE, STEPHANIE 1669521456 - KOSSEFF, PETER, P.H.D 1639124530 - PHORNPHUTKUL, CHANIKA, M.D. 1609872399 - CAMPBELL, NATHALIE, M.D. 1932438041 - CARPENTER, CHRISTINE, N.P. 1982014502 - DRISCOLL, NATALIE, N.P. 1881856961 - MULLEN, GINA, LICSW 1720296916 - JOHNSON, KAREN, N.P. 1043476062 - MELNIKAU, BORIS, M.D. 1447264270 - HILLIKER, KEITH 1831535715 - MILNER, JULIA 1932107984 - SHAHINIAN, THOMAS, M.D. 1750362562 - FURIE, KAREN, M.D. 1538168117 - GACCIONE, DANIEL, M.D. 1104173277 - MONTEIRO, LEANNE 1457781619 - HAMEL, VALERIE, N.P. 1427364660 - HOLMES, MELISSA, R.D. 1609292960 - BIRCH, ASHLEY 1396905832 - MORTEL, KRISTINE MAY, M.D. 1679775795 - RONCONE CORSETTI, MARIA, N.P. 1174894919 - SHAH, BIRJU, M.D. 1811910334 - ARCAND, ALFRED, M.D. 1386629806 - SILVERMAN, KENNETH, M.D. 1114963022 - WALL, DEANNA, P.A. 1306852017 - QUIASON, NORA, M.D. 1346316064 - DE GIULIO, LISA, O.D. 1588952253 - KANE, KIMBERLY, N.P. 1801807029 - HARVEY, JASON 1962492827 - ROGG, JEFFREY 1023167012 - FEIL, LESLIE 1538135595 - CADORET, ELIZABETH, P.A. 1558598276 - ATTLEBORO VISION CARE ASSOC. - MA 1851418370 - HEFFNER, CHARLES, LICSW 1396891396 - SCANLON, ANNETTE, LICSW 1407033210 - MONGEAU, BETTY, LICSW 1194777862 - TARABORELLI, PAUL, LICSW 1891777504 - FINDLEY, JOHN, MD 1285703587 - MESZAROS, JACQUELINE, LMHC 1134525371 - FINN, KAREN, LCDP 1215911367 - COUSTAN, DONALD, M.D. 1437352952 - VEHSE, NICO, M.D. 1013245356 - OCEAN STATE CHIROPRACTIC & SPORTS REHABILITATION 1730224114 - RICHARDSON LUCIER, DIANE, LICSW 1639320013 - ETUE, JENNIFER 1295718542 - DWYER, MARY ELLEN, LICSW 1396907028 - CASSIDY, SHANNON 1326279480 - GORDON, BARBARA, LICSW 1346557055 - LAGASSE, KRISTINA, LMHC 1952686743 - TOMAZ, DENNIS, N.P. 1598058331 - MEINDERS, COURTNEY NICOLE, P.A. 1639108384 - COHEN, ANDREW, M.D. 1265526891 - CRIBB, JOHN, M.D. 1477509081 - DEVIN, JERILYN, N.P. 1215931035 - SPINALE, JOSEPH, D.O. 1013943323 - FEENEY, DIANNE, N.P. 1619972064 - SICILIANO, DAVID, D.C. 1558677344 - DEEMS, COLLEEN 1134225113 - LANNI, DENNIS, D.C. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $103 $102 $102 $99 $99 $99 $98 $98 $98 $97 $97 $96 $96 $96 $95 $93 $92 $92 $92 $91 $91 $91 $91 $90 $89 $87 $86 $86 $84 $83 $83 $82 $82 $82 $82 $80 $80 $80 $80 $80 $80 $80 $79 $79 $79 $79 $78 $78 $77 $77 $77 $77 $77 $77 $77 $77 $76 $75 $75 $75 $74 $74 $74 $73 MedicaidManagedCare20160513.xlsx Page 94 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1538595699 - DEADY, JAMES, P.A. 1780624601 - WEINER, LEWIS, M.D. 1326296252 - COTE, LINDA 1326149170 - METACOM MEDICAL ASSOCIATES 1134437627 - TURACOVA, DANIELA, M.D. 1508817545 - POTHIER, WANDA, N.P. 1881700847 - HARTMAN, FREDERICK 1285673954 - The Kent Center For Human & Organizational Develop 1801803358 - GILLIE, R 1982691408 - CARR, ANGELA, P.A. 1255549838 - ORS/SERVICES FOR THE BLIND 1750356507 - GARSTKA, RICHARD, N.P. 1972557346 - SMALL, PETER, M.D. 1790948016 - TEPPER, STEVEN ARI, D.O. 1902871486 - SAWANT, DILIP 1831365659 - ROYE, PEGGY, N.P. 1538154703 - ENZER, YOASH, M.D. 1174642797 - LITTELL, NANCY, M.D. 1558469635 - BACON, SARAH, P.A. 1497782619 - SPENCER, MARY ANN A ANN, O.D. 1093966954 - LUCCHI, NORA ANN, O.D. 1700978186 - Grinsell, Guy, DC 1801067806 - SMITH, RACHEL, A.U.D 1104801349 - BUTLER HOSPITAL 1528139730 - FULLERTON, COLLEEN, N.P. 1700135316 - BARROS, MARIA, N.P. 1881902096 - COSTA, DIANE, N.P. 1427042894 - OSBORNE-GASKIN, ROANNE, M.D. 1306122494 - THIESEN, JENNIFER, F.N.P 1356348585 - MCWILLIAMS, TERRENCE, M.D. 1043405863 - BERMUDEZ-EMMANUELLI, ROSA, M.D. 1922362466 - WOODCOME III, HAROLD ARTHUR, M.D. 1609872845 - FEDER, INGRID, M.D. 1205893955 - PRIMARY CARE OF ATTLEBORO 1174525166 - BRS CTY MED CTR RADIOLOGY 1235162512 - PAGIDAS, KELLY, M.D. 1962652735 - PATEL, ALPEN RAMESH, M.D. 1528351905 - ENOS, BRENDAN 1114210929 - COUGHLIN, SARAH 1154507143 - BEAUDIN, TASHA 1093917296 - RAMPONE, LISA, P.A. 1942282942 - KULIK, TARESA, P.A. 1770904542 - FINNERTY, DEIRDRE, N.P. 1639236110 - WESTRICK, AMY, D.C. 1669651162 - JAMES K. CARDI, M.D. INC 1689614703 - WANDS, JACK, M.D. 1942214705 - REZENDES, DEBORAH, M.A. 1649353038 - SOWA, THOMAS, D.C. 1629020524 - PACHECO, MERCEDES, M.D. 1720399793 - CONNERTON, GINA, N.P. 1841584257 - PALAZZO, STEPHANIE, LMHC 1356433130 - STEPHENS, KARL, M.D. 1881950509 - FACIAL AND ORAL SURGERY 1750548665 - ZAPATA, JEINY, F.N.P 1528003860 - STONESTREET, BARBARA, M.D. 1912306150 - ALLEN, KRISTEN, P.A. 1336140797 - MCGUE, THOMAS, M.D. 1568686913 - KNOWLES, FRANCINE, PCNS 1154663383 - RHODE ISLAND HOSPITAL 1992844567 - VELTRI, FRANK 1639299464 - HOPKINSON, STEPHANIE, P.T. 1417955733 - DISCOVERY HOUSE 1225039795 - GOFF, MARILYN, C.N.A 1104048396 - VALLEY PRIMARY CARE, INC. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $72 $71 $70 $70 $70 $69 $68 $67 $67 $65 $62 $61 $61 $61 $60 $60 $60 $58 $56 $55 $55 $55 $55 $54 $51 $50 $49 $49 $49 $49 $48 $48 $48 $47 $47 $47 $47 $46 $46 $46 $46 $46 $46 $45 $45 $44 $44 $44 $44 $44 $43 $42 $41 $41 $41 $39 $37 $37 $36 $36 $35 $35 $35 $35 MedicaidManagedCare20160513.xlsx Page 95 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1750357596 - GIFFAULT, GEORGE, D.O. 1134248958 - GARDNER, ANN, LMHC 1093763492 - STEIN, ACHINA, DO 1114044641 - MCCANN, JAMES 1427343128 - KURRUS, HEIDI, N.P. 1528185840 - MAYO, GINA, N.P. 1134146772 - NAPIER, CYNTHIA, P.T. 1811987977 - LOPES, CRISTINA, O.D. 1750538328 - COVELLO, CHRISTOPHER, O.D. 1710142328 - KLEWIN, KATIE, A.U.D 1184715302 - PELOSI, MICHELE, D.C. 1629023809 - FERNANDO, HIRAN, M.D. 1003047713 - CAPALDI, KIARA, D.C. 1881781920 - FRAZZANO, ARTHUR, M.D. 1790113967 - STOWIK, DAVID, P.A. 1407913049 - GRAMOLINI, JON, D.C. 1710939426 - SCHWAGER, MARK 1356323174 - GIL, HOLLY 1134173206 - RUBEOR, AMITY, D.O. 1124450960 - STEWART, BRITTANY, O.D. 1114937281 - DENMARKS HOME MED EQUIPMENT LLC 1639197601 - TATAR, LESLIE, N.P. 1730358185 - ABBOTT, CURTIS, P.A. 1407893746 - JARDON, RICHARD, D.C. 1568452993 - XIONG, JINJUN, M.D. 1861753519 - CONNER, KRISTINA, M.D. 1639303324 - IOVINO, BRANDI, D.O. 1518031152 - PEZZA, DIANE, R.D. 1275863359 - NORTON, ROBERT, M.S. 1487929626 - SOWA, ALEXANDER, D.C. 1962409102 - MARTIN, LAUREEN, N.P. 1962409714 - BURNAP, TIMOTHY, P.A. 1326463548 - Roger Williams Medical Center 1831394485 - DECUBELLIS, DOUGLAS 1457358475 - DINWOODIE, ROBERT, D.O. 1154453298 - BHATTACHARYA, LALITA, D.M.D 1457769721 - BAXTER, RYAN, CNP 1013989425 - FORD, SARA, M.D. 1841281953 - BLECHMAN, JAMES 1245261817 - SMITH INTERNAL MEDICINE GROUP 1053432740 - PAWTUXET VALLEY FAMILY CARE 1760448997 - WESNER, LEE 1790994168 - RUGGIERI-JONES, CELESTE 1972726073 - Gateway Healthcare, Inc. 1871574897 - GOLD, RICHARD 1962587931 - BRUNELLE, MELISSA 1750542486 - MADSEN, TRACY 1790750123 - KURL, RITA 1881899094 - SUH, EDWARD 1871596833 - JOYCE, DONALD, M.D. 1922035609 - BURKE, PAUL 1982801866 - KOO, PATRICK 1831113695 - ST. LAURENT, KATHY 1861834244 - KIMEL-SCOTT, DOROTHY 1952355174 - NAPOLI, ANTHONY, M.D. 1770631368 - JAY, BRYAN 1801844535 - HANSBURY, EILEEN 1891719712 - BECKER, BRUCE, M.D. 1831363621 - THOMAS, MOLLY 1982895488 - NAGY, JULIUS, M.D. 1982623450 - GEIST, MARK 1831366582 - CICCHESE, MICHAEL 1770727430 - GLECKMAN, AARON 1962604785 - COHN, JAMIESON, M.D. Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $34 $33 $33 $32 $32 $32 $31 $30 $30 $30 $30 $29 $27 $27 $27 $27 $26 $26 $25 $21 $21 $19 $19 $19 $18 $16 $16 $15 $15 $15 $15 $12 $11 $11 $7 $5 $5 $4 $4 $3 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 MedicaidManagedCare20160513.xlsx Page 96 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1841281417 - LEVINE, SCOTT 1891027207 - Gateway Healthcare, Inc. 1801895792 - GREENWOOD, VIRGINIA 1780990192 - LATIES-DAVIS, CLAIRE 1770670358 - GARRO, ARIS, M.D. 1790898328 - GEORGE, PAUL 1962459784 - HAY, BRIAN 1982661815 - BERT, ARTHUR 1962654426 - WAKEFIELD WALK-IN & PRIMARY CARE LLC 1851358311 - BRUCH, HILTON 1851357073 - REGAS, FRANCES 1821028705 - MOURADI, BARA 1871516963 - JACOBS, ELIZABETH 1801879507 - VIENS, MICHAEL 1760523864 - ESCOBAR, MELISSA 1992966980 - KASSEM, MAY 1790743615 - BELAND, MICHAEL 1841236270 - ALI, SUMAIRA, M.D. 1881854255 - ZHANG, WANGHAI 1841261591 - WALLACH, MICHAEL 1518049469 - GENEREUX, DOUGLAS, P.A. 1528056496 - PEZZULLO, JOHN 1578608667 - HEERMANN, BRADLEY, M.D. 1720059025 - Family Health Services - Coventry 1619988318 - SMITH, WILLIAM 1710908611 - GREVE, MARK, M.D. 1518919869 - RAUKAR, NEHA 1508854472 - EVANGELISTA, PETER 1598749434 - LAMBE, ROBERT 1699901876 - HAN, ERIC 1548284490 - GIBBS, FRANTZ, M.D. 1578681391 - GOLDLUST, ERIC, M.D. 1578553509 - NOEL, ARTHUR 1538583091 - BACCEI, ROBYN, LICSW 1598746166 - CHOO, ESTHER 1659595148 - SHEPHERD, WARREN 1609866128 - SILVERSTEIN, JEFFREY 1508026261 - DENARDO, BRADLEY 1518948603 - CHENG, DAVID 1558403907 - PARKMAN, TARRAH, LICSW 1699774588 - BEREZIN, ALEXANDER 1558364273 - BAXTER, JOHN, M.D. 1699731828 - ROTENBERG, FREDERICK 1740294461 - LINAKIS, JAMES, M.D. 1508975194 - PADILLA, RAFAEL 1619980299 - LEV, ROBERT, M.D. 1578520474 - VELOSO, CHRISTINE 1740316587 - PANARO, HEATHER 1699704445 - DEMAYO, ROBERT 1700047800 - SWENSON, DAVID 1689756454 - HOLT, SANDRA 1639407703 - PAVAO, DAVID 1598745986 - NILES, MICHAEL 1669426821 - CIOE, PATRICIA 1497918965 - STEPANIAN, SEVAK 1639427479 - SCHEFFLER, MARGARET 1649237538 - TRIEBWASSER, ANDREW 1700843661 - GILLERMAN, RICHARD 1528492766 - FURTADO, RYAN 1528025483 - LAMANTIA, KENNETH 1740246149 - BUCZKO, GEORGE 1659356533 - COLBY, JAY 1649420274 - KELLER, DEREK 1700022472 - HOY, ELLEN Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 MedicaidManagedCare20160513.xlsx Page 97 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1649217803 - WANG, LI JUAN 1588801898 - PORTER, PAUL 1598721797 - COWDIN, HUGH 1578529780 - MASLOW, ANDREW 1679530133 - PETTERS, GAIL 1538146097 - LAZAN, GREGORY 1528243367 - LIPPMANN, MELANIE 1649240821 - DIFFIN, DANIEL 1699739250 - LEVINE, BRUCE 1679679997 - DENOFRIO, DAVID 1699746438 - MINN, MARY, M.D. 1578562443 - AGGARWAL, SUCHIT 1255533071 - GOT, CARIN 1326148354 - AUDET, JEANNINE, M.D. 1447582135 - BALERDI, M AURORA 1255582268 - O'DONNELL, SOPHIA 1427324896 - LAFERTE, LAUREN 1427015304 - CAHILL, DEBORAH 1376590794 - CARLSTEN, JAMES 1437290764 - MCGREGOR, ALYSON, M.D. 1356307789 - BENZULY, SCOTT 1376808568 - MILLER, LYNN, O.D. 1407847528 - ATHANS, JOHN 1295792687 - JACKSON, JOHN 1306879242 - ST DENNIS, RICHARD, P.A. 1265719660 - BICKNELL, HILARY 1285898890 - WARREN, OTIS 1356395966 - TUBBS, ROBERT, M.D. 1255397675 - LOFERSKI, BARBARA 1407811615 - CUMMINGS III, CHARLES, D.O. 1477589539 - LANE, KIMBERLY 1336375898 - GOODWIN, EMILY 1285714501 - BARAJAS, ANTONIO, M.D. 1497072631 - ELLIS, TINA, M.D. 1336148238 - KUCHARSKI, DONNA 1427015338 - TOWNE, GREGORY 1326264706 - TRAN, LINH 1285730804 - MANANSALA, ARTEMIO 1255534616 - FLYNN EDMONDS, LAURA, M.D. 1336163088 - JENOURI, ILSE 1386601201 - DAVIGNON, KRISTOPHER 1346401361 - TURCOTTE BENEDICT, FRANCES 1437365434 - ZHOU, XIAOPING 1386713535 - CHEEMA, TASEER 1265446538 - PROANO, LAWRENCE, M.D. 1467525840 - ATTIA-ALLA, AYMAN 1316953458 - WILLIAMS, KENNETH, M.D. 1457322299 - AHN, SUN 1396800520 - DUNLEAVY, MARY KATE, P.A. 1447370986 - PREOTLE, JANE 1346528122 - WILKINS, MEGAN 1386843902 - LYDEARD, PAUL 1396730040 - HARKNESS, DONNA 1295976959 - DEWHURST, CYNTHIA 1467611020 - CHEN, TZONG-HUEI HERBERT 1336126226 - DUHAMEL, JOHN, C.N.A 1245441559 - HUDEPOHL, NATHAN 1306980776 - DARKO, ANGELA 1336203561 - LOURENCO, ANA 1336105857 - PICKETT, LISA 1457390031 - HEALY, MICHAEL 1295755072 - JAYARAMAN, MAHESH, M.D. 1104057876 - SZYMANSKI, TREVOR 1184638017 - PALMISCIANO, LYNNE Prepared by K. Booth StrategiesAndSolutions

Providers

Expense $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 MedicaidManagedCare20160513.xlsx Page 98 of 99

RI Executive Office of Health and Human Services

Medicaid Managed Care

Incurred SFY15 pd thru 11/15 Estimated @ 100% Complete

Professional 1174789754 - NGUYEN, VAN, M.D. 1174660211 - MERRITT, CHRISTOPHER 1134110604 - NEUMANN, DAVID 1235110552 - YOO, DON 1013271584 - BARKER M.S., CCC-SLP, AMY 1023021623 - LIBBEY, NORMAN, M.D. 1194077990 - NEAL, ALEXANDER 1114037504 - SUNER, SELIM, M.D. 1083605919 - PANARO, STEPHEN 1124005871 - KHALIL, HANAN 1114900446 - MARECEK, GARY 1235115361 - MORCOS, ZEYAD 1164696886 - BURKE, EVAN 1134186752 - MASING, RAUL, M.D. 1033408166 - ANNIS, BRITTANY 1134301922 - LEIGHTON, JOSHUA 1205902228 - CATALLOZZI, MILVA 1033491451 - RIEMAN, WANDA, LP 1154537728 - TIRRELL, KATHLEEN, C.N.M 1093955171 - SALTER, MATTHEW 1023092483 - PICCOLELLO, MARCELLE 1194863241 - AHMAD, HASSAN 1033374848 - DEER, JEREMY 1235488016 - MASSON, NATALIE 1184675019 - BLAIS, ERIN 1043209794 - HUDSON SEATING & MOBILITY 1164856035 - WILSON, DANIA 1033403811 - CONNERY, ELLEN 1174570246 - ALOSCO, LOUIS 1134187248 - FLANDERS, JOHN 1124017066 - LAMBIASE, ROBERT 1003078767 - GERBER, REBECCA 1063432185 - KLAMPERT, KELLY 1063422087 - BRUZZESE, ANTHONY, M.D. 1083691240 - DALY, JAY, M.D. 1043429756 - MERCK, LISA 1205882354 - ARRON, BRETT 1134355936 - WING, ROBYN 1013211168 - BOULWARE, JASON 1063462620 - GOING, ANDREW 1104044130 - ABEDIN, SAMI 1053457721 - HERLICZEK, THADDEUS 1154413300 - DRZAL, PAULA, R.D. 1023075926 - URI, JONATHAN 1114958352 - Gateway Healthcare, Inc. 1073504163 - SCHWARTZ, CARL 1205944956 - CONSTANTINE, ELSA, M.D. 1134174592 - SNELLING, LINDA, M.D. 1245228121 - RIDLEN, MARK 1023063849 - TORRES, KEVIN, D.O. 1114964301 - STEIN, MICHAEL, M.D. 1033176904 - CAIATI, JOSEPH 1245228105 - HILLSTROM, MARY Total

Prepared by K. Booth StrategiesAndSolutions

Expense $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $302,030,649

Providers

MedicaidManagedCare20160513.xlsx Page 99 of 99