Agency
City of Providence Rhode Island
City of Providence Rhode Island was paid $18.60M by Medicaid between Jan 2018 and Oct 2024, across 15 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 60% of everything it billed.
33Billing provider infoCITY OF PROVIDENCE RHODE ISLAND
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1366570384assigned 03/01/2007
33bProvider typeLocal Education Agency (LEA)
28Total paid$18.60M
24GClaims769,492
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Local Education Agency (LEA) providers in Rhode Island
Rank by total paid#1 of 72
Median peer was paid$203K
This provider vs. median92×
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 | 121,477 | $2.52M | |
| 2019 | 125,677 | $2.68M | |
| 2020 | 81,630 | $1.59M | |
| 2021 | 112,266 | $3.07M | |
| 2022 | 113,490 | $3.15M | |
| 2023 | 120,618 | $3.25M | |
| 2024incomplete | 94,334 | $2.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 60% | 158,314 | 11,430 | $11.12M |
| X0215 | 13% | 159,440 | 143,743 | $2.33M | |
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | 12% | 200,373 | 61,584 | $2.27M |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 4.7% | 79,517 | 26,878 | $876K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.8% | 33,173 | 13,282 | $521K |
| 96153 | 1.8% | 23,158 | 8,612 | $339K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 1.7% | 18,938 | 9,068 | $310K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.6% | 15,961 | 7,777 | $293K |
| T1002 | Rn services, up to 15 minutes | 1.6% | 7,799 | 631 | $289K |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 1.1% | 70,783 | 5,372 | $203K |
| 92524 | <1% | 376 | 358 | $37K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 890 | 431 | $11K |
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 officialDUNHAM, MARK (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| City of Providence Rhode Island | Providence, RI | $4.70M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.