THE PROVIDENCE CENTER INC

$170.76M

Total Medicaid Paid

1,616,350

Total Claims

675,879

Beneficiaries

43

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
H0037	Comm psy sup tx pgm per diem	215,602	205,317	$86.62M
H0019	Alcohol and/or drug services	224,272	7,729	$29.39M
H0040	Assert comm tx pgm per diem	24,819	21,596	$27.17M
90834		88,221	61,540	$5.80M
99214		48,928	41,788	$4.09M
H0010	Alcohol and/or drug services	13,277	602	$3.31M
99213		41,011	35,405	$2.18M
S9485	Crisis intervention mental h	4,507	2,874	$1.69M
X0341		4,055	740	$1.33M
H0036	Comm psy face-face per 15min	431,405	108,945	$1.22M
90832		21,925	17,426	$1.06M
90791		8,555	7,951	$1.02M
90837		11,155	7,398	$796K
90847		10,787	7,924	$758K
H0015	Alcohol and/or drug services	3,836	621	$720K
H0044	Supported housing, per month	2,690	2,239	$704K
H0038	Self-help/peer svc per 15min	31,583	13,037	$683K
H2023	Supported employ, per 15 min	7,106	3,320	$531K
H2018	Psysoc rehab svc, per diem	4,907	342	$502K
90792		1,930	1,644	$455K
H2011	Crisis interven svc, 15 min	2,531	1,674	$200K
99211		6,165	4,604	$138K
H0043	Supported housing, per diem	67	65	$115K
90846		1,081	858	$76K
H0004	Alcohol and/or drug services	1,023	642	$57K
90853		1,315	561	$39K
99215	Prolong outpt/office vis	203	197	$25K
3074F		1,340	1,236	$22K
3078F		1,162	1,070	$18K
3079F		349	324	$8K
99204		62	62	$5K
3075F		211	189	$4K
3077F		175	159	$4K
99203		81	77	$3K
1036F		421	393	$3K
H0005	Alcohol and/or drug services	86	38	$3K
T1016	Case management	398,852	114,715	$2K
99212		34	33	$2K
4004F		528	453	$1K
3080F		26	26	$387.00
S9986	Not medically necessary svc	13	13	$0.00
4010F		40	39	$0.00
T1041	Comm bh clinic svc per month	14	13	$0.00

Medicaid Provider Spending