Encompass Care Company INC

Encompass Care Company INC was paid $134K by Medicaid between Jan 2018 and Dec 2021, across 7 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 69% of everything it billed.

33Billing provider infoENCOMPASS CARE COMPANY INC
LINCOLN, RI 02865

33aNPI1457302002assigned 05/16/2006

33bProvider typeMental Health Counselor

28Total paid$134K

24GClaims2,929

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other Mental Health Counselor providers in Rhode Island

Rank by total paid#65 of 257

Median peer was paid$31K

This provider vs. median4.3×

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	1,008	$41K
2019	971	$45K
2020	569	$24K
2021	381	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	69%	1,217	1,074	$92K
93971		17%	365	204	$23K
76942		6.9%	240	135	$9K
80305		3.8%	938	833	$5K
36471		2.1%	37	27	$3K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	87	61	$1K
J3490	Unclassified drugs	<1%	45	26	$559.04

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 officialBERGUS, BORIS (CEO)