Behavioral
Quality Behavioral Health
Quality Behavioral Health was paid $5.30M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 33% of everything it billed.
33Billing provider infoQUALITY BEHAVIORAL HEALTH
WARWICK, RI 02886
WARWICK, RI 02886
33aNPI1154485480assigned 12/21/2006
33bProvider typeCounselor
28Total paid$5.30M
24GClaims96,256
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Counselor providers in Rhode Island
Rank by total paid#2 of 76
Median peer was paid$32K
This provider vs. median167×
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 | 11,764 | $474K | |
| 2019 | 12,095 | $564K | |
| 2020 | 11,087 | $549K | |
| 2021 | 11,809 | $605K | |
| 2022 | 15,647 | $868K | |
| 2023 | 19,937 | $1.28M | |
| 2024incomplete | 13,917 | $963K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 33% | 19,514 | 9,626 | $1.75M |
| 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 | 32% | 33,096 | 29,274 | $1.71M |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 13% | 19,394 | 17,276 | $711K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 11% | 8,609 | 5,306 | $573K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 6,119 | 5,827 | $284K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.6% | 768 | 637 | $84K |
| Q3014 | Telehealth originating site facility fee | 1.3% | 3,827 | 2,846 | $67K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 404 | 390 | $51K |
| 99205 | Prolong outpt/office vis | <1% | 349 | 343 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 405 | 373 | $16K |
| 90785 | <1% | 2,700 | 2,448 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 85 | 76 | $6K |
3 more codes
| 99443 | <1% | 519 | $144.85 | |
| 99442 | <1% | 152 | $27.02 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 315 | $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 officialARRUDA, ROBERT (OWNER)