Agency
Capital City
Capital City was paid $1.10M by Medicaid between Jan 2019 and Nov 2024, across 2 billing codes. Its largest line is 97150, Therapeutic procedure(s), group (2 or more individuals) — 99% of everything it billed.
33Billing provider infoCAPITAL CITY
PROVIDENCE, RI 02908
PROVIDENCE, RI 02908
33aNPI1528352424assigned 06/08/2011
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$1.10M
24GClaims6,922
24DCodes billed2
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Rhode Island
Rank by total paid#22 of 51
Median peer was paid$731K
This provider vs. median1.5×
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 Concentration99% of spending on code 97150 with only 2 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 | |
|---|---|---|---|
| 2019 | 1,185 | $83K | |
| 2020 | 660 | $42K | |
| 2021 | 929 | $128K | |
| 2022 | 124 | $19K | |
| 2023 | 1,817 | $392K | |
| 2024incomplete | 2,207 | $438K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 99% | 6,620 | 421 | $1.09M |
| H2021 | Community-based wrap-around services, per 15 minutes | 1.1% | 302 | 142 | $12K |
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 officialDICHRISTOFERO, SCOTT (VICE PRESIDENT - FINANCE)