Abrahams, Heather

Abrahams, Heather was paid $2.72M by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is 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 — 53% of everything it billed.

33Billing provider infoABRAHAMS, HEATHER
LINCOLN, RI 02865

33aNPI1154346500assigned 07/13/2006

33bProvider typePsychiatry Physician

28Total paid$2.72M

24GClaims15,506

24DCodes billed10

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Psychiatry Physician providers in Rhode Island

Rank by total paid#2 of 140

Median peer was paid$50K

This provider vs. median55×

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	3,394	$560K
2019	1,248	$298K
2020	10,494	$1.84M
2021	215	$8K
2023	72	$8K
2024incomplete	83	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	53%	422	381	$1.45M
H0037	Community psychiatric supportive treatment program, per diem	27%	1,880	1,741	$723K
H0040	Assertive community treatment program, per diem	14%	370	326	$394K
H2031	Mental health clubhouse services, per diem	3.5%	1,947	316	$95K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.4%	687	533	$39K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	155	150	$17K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	200	165	$5K
H0036	Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes	<1%	5,039	985	$628.41
90792	Psychiatric diagnostic evaluation with medical services	<1%	17	17	$462.10
T1016	Case management, each 15 minutes	<1%	4,789	898	$4.05

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.