Agency
The Providence Center
The Providence Center was paid $5.89M by Medicaid between Oct 2024 and Nov 2024, across 16 billing codes. Its largest line is T1041, Medicaid certified community behavioral health clinic services, per month — 100% of everything it billed.
33Billing provider infoTHE PROVIDENCE CENTER
PROVIDENCE, RI 02904
PROVIDENCE, RI 02904
33aNPI1134977598assigned 05/10/2024
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$5.89M
24GClaims15,777
24DCodes billed16
24AFirst – last monthOct 2024 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Rhode Island
Rank by total paid#13 of 51
Median peer was paid$731K
This provider vs. median8.1×
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 | |
|---|---|---|---|
| 2024incomplete | 15,777 | $5.89M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1041 | Medicaid certified community behavioral health clinic services, per month | 100% | 5,745 | 5,314 | $5.89M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | <1% | 4,461 | 2,408 | $85.00 |
| 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 | 0% | 986 | 921 | $0.00 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 238 | 198 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 115 | 107 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 415 | 400 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 752 | 562 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 27 | 26 | $0.00 |
| H2023 | Supported employment, per 15 minutes | 0% | 165 | 86 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 14 | 13 | $0.00 |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 0% | 66 | 56 | $0.00 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 419 | 290 | $0.00 |
4 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 146 | $0.00 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 1,790 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 250 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 188 | $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 INC | Providence, RI | $170.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.