River to Recovery, INC.
River to Recovery, INC. was paid $1.59M by Medicaid between Aug 2020 and Nov 2024, across 5 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 51% of everything it billed.
33Billing provider infoRIVER TO RECOVERY, INC.
FALL RIVER, MA 02723
FALL RIVER, MA 02723
33aNPI1023651676assigned 10/25/2019
33bProvider typeCase Manager/Care Coordinator
28Total paid$1.59M
24GClaims12,625
24DCodes billed5
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in Massachusetts
Rank by total paid#3 of 13
Median peer was paid$202K
This provider vs. median7.8×
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 | 111 | $43K | |
| 2021 | 1,573 | $166K | |
| 2022 | 3,349 | $402K | |
| 2023 | 4,128 | $487K | |
| 2024incomplete | 3,464 | $489K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 51% | 2,509 | 1,763 | $806K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 34% | 6,295 | 1,314 | $535K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.9% | 1,211 | 444 | $156K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 5.5% | 2,594 | 476 | $88K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 16 | 16 | $2K |
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 officialWASHINGTON, LAURA (CEO)