Agency
Upward Health Solutions Rhode Island LLC
Upward Health Solutions Rhode Island LLC was paid $2.05M by Medicaid between Jan 2018 and Feb 2020, across 2 billing codes. Its largest line is 99484, — 100% of everything it billed.
33Billing provider infoUPWARD HEALTH SOLUTIONS RHODE ISLAND LLC
PROVIDENCE, RI 02909
PROVIDENCE, RI 02909
33aNPI1346754769assigned 11/21/2017
33bProvider typeCase Management Agency
28Total paid$2.05M
24GClaims2,820
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Case Management Agency providers in Rhode Island
Rank by total paid#8 of 25
Median peer was paid$959K
This provider vs. median2.1×
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.
Single-Code Concentration100% of spending on code 99484 with only 2 total codes billed. Highly concentrated billing profile.
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 | 1,594 | $1.13M | |
| 2019 | 1,156 | $865K | |
| 2020 | 70 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99484 | 100% | 2,745 | 2,303 | $2.05M | |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | <1% | 75 | 42 | $1K |
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 officialMANDEVILLE, DINA (VICE PRESIDENT)