Agency
Rising Ground. INC
Rising Ground. INC was paid $13.91M by Medicaid between Jul 2019 and Nov 2024, across 28 billing codes. Its largest line is H0041, Foster care, child, non-therapeutic, per diem — 40% of everything it billed.
33Billing provider infoRISING GROUND. INC
BRONX, NY 10461
BRONX, NY 10461
33aNPI1447607817assigned 05/16/2016
33bProvider typeCase Management Agency
28Total paid$13.91M
24GClaims79,817
24DCodes billed28
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in New York
Rank by total paid#43 of 180
Median peer was paid$1.76M
This provider vs. median7.9×
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 | |
|---|---|---|---|
| 2019 | 1,251 | $97K | |
| 2020 | 81 | $6K | |
| 2021 | 34,336 | $1.54M | |
| 2022 | 7,217 | $3.57M | |
| 2023 | 17,883 | $4.24M | |
| 2024incomplete | 19,049 | $4.46M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0041 | Foster care, child, non-therapeutic, per diem | 40% | 42,760 | 13,693 | $5.59M |
| S5145 | Foster care, therapeutic, child; per diem | 33% | 6,017 | 2,576 | $4.56M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 11% | 10,002 | 3,299 | $1.60M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.7% | 4,508 | 1,845 | $648K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.3% | 2,008 | 1,386 | $465K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.0% | 4,004 | 1,902 | $422K |
| 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% | 1,523 | 1,374 | $176K |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | <1% | 1,567 | 510 | $120K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 763 | 513 | $83K |
| 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 | <1% | 593 | 560 | $66K |
| 99051 | <1% | 4,614 | 2,036 | $62K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 214 | 145 | $47K |
16 more codes
| H2011 | Crisis intervention service, per 15 minutes | <1% | 65 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 152 | $10K |
| 90882 | <1% | 205 | $8K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 41 | $7K |
| 97802 | <1% | 103 | $6K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 24 | $4K |
| H0049 | Alcohol and/or drug screening | <1% | 80 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 194 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 26 | $2K |
| 92551 | <1% | 221 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 43 | $2K |
| 97803 | <1% | 28 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 15 | $934.61 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 21 | $904.60 |
| 90863 | 0% | 14 | $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 officialVILLAMAN, DREISLY (MEDICAL BILLER)
| Provider | Location | Paid |
|---|---|---|
| Rising Ground. INC | Yonkers, NY | $442K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.