Agency
Tri-County Community Action Agency
Tri-County Community Action Agency was paid $7.45M by Medicaid between Jan 2018 and Dec 2024, across 76 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 44% of everything it billed.
33Billing provider infoTRI-COUNTY COMMUNITY ACTION AGENCY
JOHNSTON, RI 02919
JOHNSTON, RI 02919
33aNPI1396780086assigned 06/18/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$7.45M
24GClaims137,536
24DCodes billed76
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Rhode Island
Rank by total paid#11 of 51
Median peer was paid$731K
This provider vs. median10×
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 | 20,964 | $1.21M | |
| 2019 | 32,324 | $1.69M | |
| 2020 | 15,177 | $691K | |
| 2021 | 15,860 | $817K | |
| 2022 | 10,920 | $655K | |
| 2023 | 13,002 | $897K | |
| 2024incomplete | 29,289 | $1.49M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 44% | 27,382 | 23,346 | $3.29M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 21,659 | 18,993 | $957K |
| T2022 | Case management, per month | 12% | 7,031 | 6,851 | $877K |
| T1016 | Case management, each 15 minutes | 11% | 16,853 | 6,489 | $816K |
| 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 | 6.8% | 8,854 | 7,913 | $507K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.9% | 5,484 | 3,532 | $365K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.8% | 2,918 | 2,084 | $135K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 3,717 | 3,352 | $120K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.0% | 846 | 558 | $78K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 428 | 398 | $52K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,527 | 4,128 | $35K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 229 | 216 | $27K |
64 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 239 | $25K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,240 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 161 | $16K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 215 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 149 | $15K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 411 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 184 | $10K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 715 | $10K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 226 | $9K |
| 0011A | <1% | 251 | $8K | |
| 0012A | <1% | 182 | $7K | |
| 80305 | <1% | 761 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 54 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 44 | $5K |
| T1017 | Case management, billed per 15 minutes | <1% | 169 | $4K |
| 97802 | <1% | 100 | $3K | |
| 99383 | <1% | 26 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 39 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 181 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 106 | $1K |
| 99385 | <1% | 15 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 81 | $818.01 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $786.31 |
| 0001A | <1% | 16 | $666.08 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 75 | $612.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,190 | $605.00 |
| 90461 | <1% | 40 | $587.52 | |
| 99442 | <1% | 19 | $550.43 | |
| 97803 | <1% | 15 | $532.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 13 | $465.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $433.57 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,989 | $400.00 |
| D1110 | Prophylaxis - adult | <1% | 5,822 | $371.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 26 | $336.16 |
| D1206 | Topical application of fluoride varnish | <1% | 3,400 | $286.00 |
| 86703 | <1% | 15 | $159.32 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 26 | $157.38 |
| 81025 | <1% | 27 | $131.00 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,276 | $126.00 |
| 90473 | <1% | 12 | $124.42 | |
| 92551 | <1% | 20 | $111.52 | |
| 90686 | <1% | 105 | $52.50 | |
| 81002 | <1% | 16 | $29.68 | |
| D1120 | Dental cleaning, child | <1% | 2,007 | $22.00 |
| D0272 | Bitewings - two radiographic images | 0% | 323 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 4,374 | $0.00 |
| 91301 | 0% | 19 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 1,844 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 994 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 61 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 58 | $0.00 |
| D9310 | 0% | 20 | $0.00 | |
| D2331 | 0% | 76 | $0.00 | |
| D2330 | 0% | 15 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 17 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 506 | $0.00 |
| D9992 | 0% | 14 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 1,830 | $0.00 |
| D2140 | 0% | 104 | $0.00 | |
| D0330 | Panoramic radiographic image | 0% | 435 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 2,881 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 200 | $0.00 |
| D2940 | 0% | 83 | $0.00 | |
| D1354 | 0% | 70 | $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 officialDESANTIS, JOSEPH (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Tri-Town Economic Opportunity Council | Johnston, RI | $1.90M |
| Tri-Town Economic Opportunity Committee | Johnston, RI | $1.50M |
| Tri-Town Economic Opportunity Committee | Johnston, RI | $44K |
| Tri-County Community Action Agency | Johnston, RI | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.