GIRLS AND BOYS TOWN OF NEW ENGLAND
NPI: 1548388085
· PORTSMOUTH, RI 02871
· Community/Behavioral Health Agency
· NPI assigned 03/26/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.
$5.93M
Total Medicaid Paid
Provider Details
| Authorized Official | REARDON, WILLIAM (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 03/26/2007 |
Related Entities
Other providers sharing the same authorized official: REARDON, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
383 |
$585K |
| 2020 |
249 |
$735K |
| 2021 |
351 |
$954K |
| 2022 |
229 |
$1.18M |
| 2023 |
258 |
$1.46M |
| 2024 |
177 |
$1.02M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
1,303 |
1,203 |
$5.44M |
| S5145 |
Foster care, therapeutic, child; per diem |
344 |
311 |
$488K |