James, Elizabeth

James, Elizabeth was paid $2.29M by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is S9485, Crisis intervention mental health services, per diem — 92% of everything it billed.

33Billing provider infoJAMES, ELIZABETH
PAWTUCKET, RI 02860

33aNPI1477755643assigned 06/01/2007

33bProvider typeCounselor

28Total paid$2.29M

24GClaims10,658

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Counselor providers in Rhode Island

Rank by total paid#3 of 76

Median peer was paid$32K

This provider vs. median72×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration92% of spending on code S9485 with only 3 total codes billed. Highly concentrated billing profile.

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	1,141	$251K
2019	1,039	$229K
2020	1,707	$384K
2021	2,209	$496K
2022	1,837	$421K
2023	1,704	$355K
2024incomplete	1,021	$152K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S9485	Crisis intervention mental health services, per diem	92%	9,286	8,131	$2.09M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	8.4%	1,340	1,235	$192K
H2011	Crisis intervention service, per 15 minutes	<1%	32	28	$787.50

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.