Agency
Wood River Health Services, INC.
Wood River Health Services, INC. was paid $5.14M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoWOOD RIVER HEALTH SERVICES, INC.
HOPE VALLEY, RI 02832
HOPE VALLEY, RI 02832
33aNPI1417947383assigned 10/24/2005
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$5.14M
24GClaims96,372
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Rhode Island
Rank by total paid#14 of 51
Median peer was paid$731K
This provider vs. median7.0×
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 | 14,402 | $710K | |
| 2019 | 14,067 | $693K | |
| 2020 | 7,329 | $347K | |
| 2021 | 12,396 | $635K | |
| 2022 | 16,455 | $853K | |
| 2023 | 16,083 | $890K | |
| 2024incomplete | 15,640 | $1.01M |
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 | 68% | 29,678 | 23,743 | $3.50M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 17,780 | 15,415 | $734K |
| 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 | 8.8% | 8,752 | 7,614 | $453K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.2% | 1,513 | 1,031 | $114K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.5% | 1,539 | 1,104 | $78K |
| H0044 | Supported housing, per month | <1% | 151 | 146 | $45K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 320 | 194 | $29K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 589 | 533 | $20K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 285 | 273 | $20K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 125 | 125 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,179 | 1,914 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 158 | 155 | $14K |
60 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,124 | $14K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 195 | $12K |
| G0467 | Community health center visit, returning patient | <1% | 505 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 420 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 122 | $8K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 122 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 81 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 52 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 104 | $3K |
| 87428 | <1% | 80 | $3K | |
| 0012A | <1% | 69 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 270 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 229 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 171 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 180 | $2K |
| 0011A | <1% | 74 | $2K | |
| 0002A | <1% | 59 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 19 | $2K |
| 90461 | <1% | 94 | $2K | |
| 0001A | <1% | 55 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 22 | $1K |
| 0071A | <1% | 37 | $999.12 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 121 | $982.60 |
| 0072A | <1% | 37 | $954.43 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 15 | $873.62 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 29 | $804.20 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $704.08 |
| T1017 | Case management, billed per 15 minutes | <1% | 24 | $625.00 |
| 92551 | <1% | 138 | $605.20 | |
| 0124A | <1% | 17 | $536.77 | |
| 0134A | <1% | 13 | $454.19 | |
| 90480 | <1% | 13 | $420.26 | |
| 0031A | <1% | 20 | $295.56 | |
| 0004A | <1% | 15 | $222.75 | |
| 81002 | <1% | 113 | $210.73 | |
| 87420 | <1% | 34 | $179.10 | |
| 80305 | <1% | 12 | $71.48 | |
| 90686 | <1% | 234 | $1.37 | |
| 99000 | <1% | 46 | $0.65 | |
| 90674 | <1% | 41 | $0.26 | |
| 90656 | <1% | 35 | $0.25 | |
| 90661 | <1% | 14 | $0.12 | |
| D0120 | Dental checkup, returning patient | 0% | 3,620 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 3,024 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 1,436 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 850 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 20 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 241 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 81 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 61 | $0.00 |
| 91307 | 0% | 14 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 2,749 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 4,491 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 1,927 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 325 | $0.00 |
| D2140 | 0% | 107 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 7,357 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 1,855 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 64 | $0.00 |
| DPCOM | 0% | 13 | $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 officialPION, TRACY (DIRECTOR OF FINANCIAL OPERATIONS)