Behavioral
The Providence Center INC
The Providence Center INC was paid $170.76M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is H0037, Community psychiatric supportive treatment program, per diem — 51% of everything it billed.
33Billing provider infoTHE PROVIDENCE CENTER INC
PROVIDENCE, RI 02904
PROVIDENCE, RI 02904
33aNPI1104847946assigned 07/21/2006
33bProvider typeMental Health Counselor
28Total paid$170.76M
24GClaims1,616,350
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Rhode Island
Rank by total paid#1 of 257
Median peer was paid$31K
This provider vs. median5,486×
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 | 204,228 | $22.22M | |
| 2019 | 265,238 | $22.72M | |
| 2020 | 264,734 | $21.46M | |
| 2021 | 304,610 | $27.22M | |
| 2022 | 211,236 | $28.40M | |
| 2023 | 188,532 | $26.99M | |
| 2024incomplete | 177,772 | $21.76M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0037 | Community psychiatric supportive treatment program, per diem | 51% | 215,602 | 205,317 | $86.62M |
| 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 | 17% | 224,272 | 7,729 | $29.39M |
| H0040 | Assertive community treatment program, per diem | 16% | 24,819 | 21,596 | $27.17M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.4% | 88,221 | 61,540 | $5.80M |
| 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 | 2.4% | 48,928 | 41,788 | $4.09M |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 1.9% | 13,277 | 602 | $3.31M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 41,011 | 35,405 | $2.18M |
| S9485 | Crisis intervention mental health services, per diem | <1% | 4,507 | 2,874 | $1.69M |
| X0341 | <1% | 4,055 | 740 | $1.33M | |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | <1% | 431,405 | 108,945 | $1.22M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 21,925 | 17,426 | $1.06M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 8,555 | 7,951 | $1.02M |
31 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 11,155 | $796K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 10,787 | $758K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | <1% | 3,836 | $720K |
| H0044 | Supported housing, per month | <1% | 2,690 | $704K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 31,583 | $683K |
| H2023 | Supported employment, per 15 minutes | <1% | 7,106 | $531K |
| H2018 | Psychosocial rehabilitation services, per diem | <1% | 4,907 | $502K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,930 | $455K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 2,531 | $200K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 6,165 | $138K |
| H0043 | Supported housing, per diem | <1% | 67 | $115K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 1,081 | $76K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 1,023 | $57K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,315 | $39K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 203 | $25K |
| 3074F | <1% | 1,340 | $22K | |
| 3078F | <1% | 1,162 | $18K | |
| 3079F | <1% | 349 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 62 | $5K |
| 3075F | <1% | 211 | $4K | |
| 3077F | <1% | 175 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 81 | $3K |
| 1036F | <1% | 421 | $3K | |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 86 | $3K |
| T1016 | Case management, each 15 minutes | <1% | 398,852 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 34 | $2K |
| 4004F | <1% | 528 | $1K | |
| 3080F | <1% | 26 | $387.00 | |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 13 | $0.00 |
| 4010F | 0% | 40 | $0.00 | |
| T1041 | Medicaid certified community behavioral health clinic services, per month | 0% | 14 | $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 officialSOSA, CARLA (PAYER CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| The Providence Center | Providence, RI | $5.89M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.