Agency
Fellowship Health Resources, INC
Fellowship Health Resources, INC was paid $49.17M by Medicaid between Jan 2018 and Dec 2024, across 31 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 — 38% of everything it billed.
33Billing provider infoFELLOWSHIP HEALTH RESOURCES, INC
LINCOLN, RI 02865
LINCOLN, RI 02865
33aNPI1245239680assigned 07/19/2005
33bProvider typeCase Management Agency
28Total paid$49.17M
24GClaims310,656
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Rhode Island
Rank by total paid#3 of 25
Median peer was paid$959K
This provider vs. median51×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BUSCH, DONNA controls 16+ related entities in our dataset. Read more
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 | 33,100 | $4.34M | |
| 2019 | 36,298 | $5.55M | |
| 2020 | 25,457 | $4.62M | |
| 2021 | 44,743 | $7.92M | |
| 2022 | 34,738 | $7.49M | |
| 2023 | 58,976 | $9.47M | |
| 2024incomplete | 77,344 | $9.78M |
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 | 38% | 25,249 | 4,051 | $18.85M |
| H0040 | Assertive community treatment program, per diem | 26% | 95,176 | 9,375 | $12.90M |
| H0037 | Community psychiatric supportive treatment program, per diem | 7.5% | 9,709 | 8,944 | $3.71M |
| T1020 | Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 6.3% | 969 | 817 | $3.07M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 4.9% | 34,738 | 3,107 | $2.40M |
| H2018 | Psychosocial rehabilitation services, per diem | 4.0% | 12,270 | 942 | $1.95M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.4% | 17,861 | 7,071 | $1.69M |
| H0038 | Self-help/peer services, per 15 minutes | 1.5% | 5,648 | 843 | $734K |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 1.5% | 35,747 | 5,888 | $734K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 1.1% | 2,173 | 1,380 | $550K |
| H0046 | Mental health services, not otherwise specified | <1% | 5,388 | 523 | $423K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 7,324 | 4,670 | $377K |
19 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 6,765 | $289K |
| 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% | 7,066 | $283K |
| H0034 | Medication training and support, per 15 minutes | <1% | 2,803 | $234K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 601 | $218K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 3,625 | $159K |
| H2031 | Mental health clubhouse services, per diem | <1% | 3,402 | $156K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 6,017 | $147K |
| X0341 | <1% | 273 | $87K | |
| 99999 | <1% | 114 | $77K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,005 | $75K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 487 | $53K |
| T1016 | Case management, each 15 minutes | <1% | 24,364 | $5K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 572 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 173 | $3K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 32 | $558.25 |
| 99407 | <1% | 14 | $465.36 | |
| 99442 | <1% | 21 | $179.52 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | $57.48 |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 0% | 49 | $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 officialBUSCH, DONNA (DIR. OF CONTRACTS AND CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Elwyn of Pennsylvania and Delaware | Elwyn, PA | $21.09M |
| Elwyn of Pennsylvania and Delaware | Elwyn, PA | $16.31M |
| Elwyn of Pennsylvania and Delaware | Media, PA | $10.73M |
| Elwyn of Pennsylvania and Delaware | Philadelphia, PA | $5.01M |
| Fellowship Health Resources, INC | Georgetown, DE | $2.81M |
| Fellowship Health Resources, INC. | Lincoln, RI | $922K |
| Elwyn of Pennsylvania and Delaware | Philadelphia, PA | $849K |
| Elwyn of Pennsylvania and Delaware | Wilmington, DE | $313K |
| Fellowship Health Resources, INC | Georgetown, DE | $132K |
| Fellowship Health Resources, INC. | Milton, DE | $112K |
| Elwyn of Pennsylvania and Delaware | Media, PA | $101K |
| Elwyn of Pennsylvania and Delaware | Elwyn, PA | $76K |
| Elwyn | Lehigh Valley, PA | $2K |
| Elwyn of Pennsylvania and Delaware | Elwyn, PA | $164.19 |
| Elwyn of Pennsylvania and Delaware | Philadelphia, PA | $0.00 |
| Elwyn of Pennsylvania and Delaware | Upper Darby, PA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.