Behavioral
Prideaux, Caren
Prideaux, Caren was paid $80K by Medicaid between Aug 2018 and Aug 2022, across 3 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 73% of everything it billed.
33Billing provider infoPRIDEAUX, CAREN
EAST PROVIDENCE, RI 02914
EAST PROVIDENCE, RI 02914
33aNPI1477590826assigned 06/01/2006
33bProvider typeClinical Social Worker
28Total paid$80K
24GClaims1,182
24DCodes billed3
24AFirst – last monthAug 2018 – Aug 2022
Compared with peers
Next to other Clinical Social Worker providers in Rhode Island
Rank by total paid#113 of 358
Median peer was paid$27K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2018 | 62 | $4K | |
| 2021 | 516 | $34K | |
| 2022 | 604 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 73% | 775 | 409 | $59K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 24% | 393 | 258 | $20K |
| H0001 | Alcohol and/or drug assessment | 2.3% | 14 | 13 | $2K |
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.