Behavioral
Rushford Center, INC.
Rushford Center, INC. was paid $12.69M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is S9480, Intensive outpatient psychiatric services, per diem — 30% of everything it billed.
33Billing provider infoRUSHFORD CENTER, INC.
MERIDEN, CT 06450
MERIDEN, CT 06450
33aNPI1275541005assigned 08/04/2006
33bProvider typeCognitive & Behavioral Psychologist
28Total paid$12.69M
24GClaims261,980
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cognitive & Behavioral Psychologist providers in Connecticut
Rank by total paid#1 of 5
Median peer was paid$142K
This provider vs. median89×
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 | 45,187 | $3.20M | |
| 2019 | 43,386 | $3.11M | |
| 2020 | 44,674 | $2.04M | |
| 2021 | 38,599 | $1.23M | |
| 2022 | 36,234 | $1.36M | |
| 2023 | 29,942 | $844K | |
| 2024incomplete | 23,958 | $898K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9480 | Intensive outpatient psychiatric services, per diem | 30% | 32,276 | 4,724 | $3.81M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 21% | 19,693 | 3,326 | $2.60M |
| 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 | 18% | 20,665 | 3,533 | $2.32M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 14% | 129,719 | 48,488 | $1.75M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10.0% | 29,658 | 22,922 | $1.27M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 11,956 | 5,520 | $333K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.5% | 3,150 | 2,692 | $314K |
| 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 | 1.1% | 1,903 | 1,527 | $139K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,008 | 405 | $51K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,546 | 569 | $45K |
| 98967 | <1% | 3,929 | 2,059 | $28K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 209 | 131 | $24K |
11 more codes
| 98968 | <1% | 530 | $5K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 14 | $2K |
| 99442 | <1% | 1,626 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,491 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 90 | $907.45 |
| 98966 | <1% | 54 | $48.59 | |
| 99443 | <1% | 79 | $40.00 | |
| G0410 | Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes | 0% | 2,343 | $0.00 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 0% | 13 | $0.00 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 14 | $0.00 |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 14 | $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 officialCZERNIEWSKI, ANDREW (EVP FINANCE/CFO)
Parent organizationHARTFORD HEALTHCARE CORPORATION