Behavioral
Providence Behavioral Health Associates INC
Providence Behavioral Health Associates INC was paid $157K by Medicaid between Nov 2020 and Dec 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoPROVIDENCE BEHAVIORAL HEALTH ASSOCIATES INC
PROVIDENCE, RI 02908
PROVIDENCE, RI 02908
33aNPI1023142700assigned 03/15/2007
33bProvider typeClinical Psychologist
28Total paid$157K
24GClaims2,279
24DCodes billed4
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Clinical Psychologist providers in Rhode Island
Rank by total paid#11 of 65
Median peer was paid$15K
This provider vs. median11×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 36 | $2K | |
| 2021 | 213 | $9K | |
| 2022 | 318 | $24K | |
| 2023 | 781 | $62K | |
| 2024incomplete | 931 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 40% | 1,233 | 1,005 | $64K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 35% | 482 | 263 | $55K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 19% | 341 | 217 | $29K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 5.9% | 223 | 150 | $9K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTODARO, JOHN (CLINICAL PSYCHOLOGIST)