Agency
Westbay Community Action, INC.
Westbay Community Action, INC. was paid $2.27M by Medicaid between Jan 2018 and Aug 2024, across 3 billing codes. Its largest line is T1016, Case management, each 15 minutes — 81% of everything it billed.
33Billing provider infoWESTBAY COMMUNITY ACTION, INC.
WARWICK, RI 02886
WARWICK, RI 02886
33aNPI1245456532assigned 04/17/2007
33bProvider typeCase Management Agency
28Total paid$2.27M
24GClaims15,844
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Case Management Agency providers in Rhode Island
Rank by total paid#7 of 25
Median peer was paid$959K
This provider vs. median2.4×
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 | 2,603 | $396K | |
| 2019 | 2,459 | $370K | |
| 2020 | 2,187 | $364K | |
| 2021 | 2,442 | $411K | |
| 2022 | 2,803 | $353K | |
| 2023 | 2,587 | $267K | |
| 2024incomplete | 763 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 81% | 12,523 | 11,580 | $1.83M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 13% | 3,244 | 2,915 | $291K |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 6.6% | 77 | 62 | $150K |
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 officialBRAGA, HEATHER (CFO)
| Provider | Location | Paid |
|---|---|---|
| Westbay Community Action, INC. | Warwick, RI | $150K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.