Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › RI › PAWTUCKET › BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC.

BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC.

NPI: 1063574135 · PAWTUCKET, RI 02860 · Community/Behavioral Health Agency · NPI assigned 12/15/2006

$12.38M
Total Medicaid Paid
294,534
Total Claims
255,366
Beneficiaries
76
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPACHECO, CRISTINA (CEO)
NPI Enumeration Date12/15/2006

Related Entities

Other providers sharing the same authorized official: PACHECO, CRISTINA

ProviderCityStateTotal Paid
BLACKSTONE VALLEY COMMUNITY HEALTH CARE PAWTUCKET RI $14.24M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 50,328 $1.86M
2019 44,867 $1.64M
2020 31,680 $1.13M
2021 46,445 $1.80M
2022 43,678 $2.08M
2023 38,649 $1.96M
2024 38,887 $1.93M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93,890 82,405 $4.29M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 42,970 37,195 $2.72M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 7,682 7,432 $955K
90834 Psychotherapy, 45 minutes with patient 10,774 8,446 $674K
T1015 Clinic visit/encounter, all-inclusive 12,315 9,482 $537K
90832 Psychotherapy, 30 minutes with patient 7,928 6,240 $339K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,941 4,357 $318K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,529 4,008 $287K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,249 7,472 $266K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,800 3,269 $251K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29,120 25,289 $226K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,236 4,007 $169K
90472 Immunization administration, each additional vaccine (list separately) 10,931 9,440 $162K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,175 1,913 $158K
99215 Prolong outpt/office vis 1,371 1,253 $132K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,645 6,413 $87K
92015 Determination of refractive state 3,491 3,294 $72K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 41 41 $69K
90837 Psychotherapy, 53 minutes with patient 824 657 $68K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,560 5,124 $53K
83036 Hemoglobin; glycosylated (A1C) 4,259 3,936 $47K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,202 1,088 $46K
V2020 Frames, purchases 889 724 $41K
82962 5,463 4,790 $37K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 1,805 1,343 $32K
99442 1,110 1,076 $30K
0012A 874 864 $26K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 485 480 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,623 1,464 $24K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,192 778 $22K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 827 419 $19K
87428 303 295 $19K
0011A 905 889 $17K
0002A 365 362 $15K
92250 419 402 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 525 484 $10K
92340 Fitting of spectacles, except for aphakia; monofocal 544 477 $9K
81025 1,965 1,754 $9K
0001A 223 222 $9K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 140 130 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 140 135 $8K
99443 175 165 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 125 80 $7K
81003 3,464 2,642 $6K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 454 430 $6K
0071A 138 138 $6K
0072A 130 129 $5K
0064A 231 231 $5K
0124A 128 104 $4K
90792 Psychiatric diagnostic evaluation with medical services 40 40 $4K
90791 Psychiatric diagnostic evaluation 37 37 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 139 75 $4K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 50 12 $2K
90847 Family psychotherapy with the patient present, 50 minutes 26 25 $2K
81002 800 635 $2K
0031A 55 54 $2K
0003A 52 52 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 15 $1K
0052A 54 53 $992.25
0013A 26 26 $915.86
0134A 21 21 $867.09
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 38 37 $824.50
0082A 16 16 $660.64
92341 36 32 $580.00
90480 13 13 $498.49
99441 31 31 $364.13
86580 62 51 $338.01
90473 33 25 $337.26
0051A 13 13 $243.00
90474 28 26 $226.50
0053A 14 14 $222.75
93000 13 13 $157.14
82043 14 12 $38.40
90686 74 48 $37.00
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 137 102 $0.00
91301 120 120 $0.00