Agency
Community Care Alliance
Community Care Alliance was paid $46.41M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is H0037, Community psychiatric supportive treatment program, per diem — 31% of everything it billed.
33Billing provider infoCOMMUNITY CARE ALLIANCE
WOONSOCKET, RI 02895
WOONSOCKET, RI 02895
33aNPI1437191061assigned 06/11/2006
33bProvider typeCase Management Agency
28Total paid$46.41M
24GClaims375,261
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Rhode Island
Rank by total paid#4 of 25
Median peer was paid$959K
This provider vs. median48×
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 | 78,008 | $10.61M | |
| 2019 | 100,266 | $8.76M | |
| 2020 | 41,484 | $3.87M | |
| 2021 | 35,600 | $3.72M | |
| 2022 | 38,173 | $5.61M | |
| 2023 | 41,273 | $7.56M | |
| 2024incomplete | 40,457 | $6.28M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0037 | Community psychiatric supportive treatment program, per diem | 31% | 37,437 | 34,701 | $14.45M |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 18% | 4,535 | 2,253 | $8.53M |
| H0040 | Assertive community treatment program, per diem | 15% | 6,270 | 5,587 | $6.88M |
| S9485 | Crisis intervention mental health services, per diem | 8.4% | 7,160 | 4,405 | $3.90M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 5.5% | 92,383 | 30,878 | $2.55M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.1% | 24,465 | 14,055 | $1.45M |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 2.9% | 568 | 333 | $1.37M |
| T1027 | Family training and counseling for child development, per 15 minutes | 1.8% | 7,665 | 3,411 | $834K |
| H2023 | Supported employment, per 15 minutes | 1.7% | 10,870 | 4,066 | $768K |
| X0377 | 1.6% | 11,750 | 1,977 | $743K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 18,768 | 13,722 | $581K |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | 1.2% | 4,916 | 1,664 | $535K |
35 more codes
| X0341 | <1% | 282 | $369K | |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 4,271 | $364K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 3,966 | $359K |
| 99502 | <1% | 2,382 | $289K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 6,014 | $253K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 12,412 | $251K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 5,272 | $221K |
| T1041 | Medicaid certified community behavioral health clinic services, per month | <1% | 479 | $203K |
| H2036 | Alcohol and/or other drug treatment program, per diem | <1% | 450 | $188K |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | <1% | 2,244 | $148K |
| T2031 | Assisted living; waiver, per diem | <1% | 237 | $143K |
| 99600 | Unlisted home visit service or procedure | <1% | 720 | $133K |
| H2014 | Skills training and development, per 15 minutes | <1% | 1,365 | $124K |
| T1016 | Case management, each 15 minutes | <1% | 36,003 | $95K |
| 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 | <1% | 653 | $94K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 98 | $84K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,278 | $84K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 4,102 | $78K |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | <1% | 215 | $75K |
| 99501 | <1% | 159 | $59K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,705 | $53K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 5,463 | $35K |
| 90837 | Psychotherapy session, about an hour | <1% | 663 | $34K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 306 | $28K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 75 | $16K |
| H0044 | Supported housing, per month | <1% | 39 | $13K |
| H0025 | Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) | <1% | 26 | $11K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 6,129 | $9K |
| H0001 | Alcohol and/or drug assessment | <1% | 57 | $5K |
| X0301 | <1% | 49 | $5K | |
| H0046 | Mental health services, not otherwise specified | <1% | 49,569 | $848.70 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 25 | $495.60 |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 0% | 339 | $0.00 |
| H0006 | Alcohol and/or drug services; case management | 0% | 120 | $0.00 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 307 | $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 officialLESSING, BENEDICT (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Community Care Alliance | Woonsocket, RI | $1.89M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.