Agency
Looking Upwards, INC.
Looking Upwards, INC. was paid $15.72M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 49% of everything it billed.
33Billing provider infoLOOKING UPWARDS, INC.
PORTSMOUTH, RI 02871
PORTSMOUTH, RI 02871
33aNPI1578693172assigned 03/06/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$15.72M
24GClaims371,712
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Rhode Island
Rank by total paid#3 of 51
Median peer was paid$731K
This provider vs. median21×
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 | 46,753 | $1.75M | |
| 2019 | 67,966 | $2.50M | |
| 2020 | 60,717 | $1.30M | |
| 2021 | 60,992 | $2.14M | |
| 2022 | 48,543 | $2.29M | |
| 2023 | 42,519 | $2.83M | |
| 2024incomplete | 44,222 | $2.92M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 49% | 68,124 | 4,772 | $7.70M |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | 21% | 25,139 | 3,849 | $3.30M |
| T1016 | Case management, each 15 minutes | 13% | 103,525 | 12,490 | $2.08M |
| H0046 | Mental health services, not otherwise specified | 6.9% | 12,874 | 3,661 | $1.08M |
| T1027 | Family training and counseling for child development, per 15 minutes | 4.0% | 6,221 | 3,672 | $637K |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 3.8% | 151,947 | 5,189 | $601K |
| H2014 | Skills training and development, per 15 minutes | 1.7% | 3,506 | 1,845 | $261K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 356 | 302 | $54K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 20 | 12 | $1K |
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 officialMCDONNELL, SHEILA (FINANCE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Looking Upwards, INC. | Portsmouth, RI | $136.25M |
| Looking Upwards, INC. | Portsmouth, RI | $7.35M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.