Newport County Community Mental Health Centers INC

Newport County Community Mental Health Centers INC was paid $36.98M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is H0037, Community psychiatric supportive treatment program, per diem — 44% of everything it billed.

33Billing provider infoNEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTERS INC
MIDDLETOWN, RI 02842

33aNPI1093713174assigned 07/12/2005

33bProvider typeCase Management Agency

28Total paid$36.98M

24GClaims241,995

24DCodes billed25

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Case Management Agency providers in Rhode Island

Rank by total paid#5 of 25

Median peer was paid$959K

This provider vs. median39×

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
2018	29,228	$4.18M
2019	34,172	$4.95M
2020	30,645	$4.46M
2021	39,312	$5.74M
2022	36,704	$6.80M
2023	35,338	$6.23M
2024incomplete	36,596	$4.62M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0037	Community psychiatric supportive treatment program, per diem	44%	43,428	39,083	$16.34M
H0040	Assertive community treatment program, per diem	34%	12,117	10,011	$12.55M
H0019	Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	15%	3,732	1,741	$5.53M
H2023	Supported employment, per 15 minutes	3.1%	9,866	2,422	$1.14M
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	1.1%	7,246	6,508	$391K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	6,143	3,088	$344K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	9,359	6,461	$176K
H0044	Supported housing, per month	<1%	375	363	$104K
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	<1%	71,740	22,098	$95K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	1,697	816	$84K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	1,465	1,296	$68K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	397	387	$51K

13 more codes

99215	Doctor's office visit, returning patient (complex)	<1%	1,049	$50K
90832	Psychotherapy session, about 30 minutes	<1%	357	$15K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	315	$14K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	456	$14K
90792	Psychiatric diagnostic evaluation with medical services	<1%	49	$7K
90839		<1%	42	$6K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	116	$4K
90836		<1%	68	$3K
H0046	Mental health services, not otherwise specified	<1%	29,771	$111.28
T1016	Case management, each 15 minutes	<1%	39,949	$69.08
H0038	Self-help/peer services, per 15 minutes	<1%	1,985	$2.56
H2010	Comprehensive medication services, per 15 minutes	0%	98	$0.00
H0004	Behavioral health counseling and therapy, per 15 minutes	0%	175	$0.00

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 officialGLADSTEIN, DAYNA (PRESIDENT & CEO)