Behavioral
Prospect Chartercare Sjhsri, LLC
Prospect Chartercare Sjhsri, LLC was paid $858K by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoPROSPECT CHARTERCARE SJHSRI, LLC
NORTH PROVIDENCE, RI 02904
NORTH PROVIDENCE, RI 02904
33aNPI1588089759assigned 02/25/2014
33bProvider typeSocial Worker
28Total paid$858K
24GClaims40,990
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Social Worker providers in Rhode Island
Rank by total paid#1 of 41
Median peer was paid$35K
This provider vs. median24×
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.
Entity ProliferationAuthorized official ELDERS, ROBERT controls 20+ related entities in our dataset. Read more
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 | 4,030 | $30K | |
| 2019 | 5,426 | $94K | |
| 2020 | 3,730 | $24K | |
| 2021 | 5,375 | $61K | |
| 2022 | 7,860 | $195K | |
| 2023 | 8,284 | $255K | |
| 2024incomplete | 6,285 | $199K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 8,280 | 7,452 | $278K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 14% | 9,559 | 1,725 | $119K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.7% | 674 | 671 | $66K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 7.3% | 950 | 740 | $62K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 591 | 585 | $49K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.8% | 2,545 | 592 | $49K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.8% | 384 | 380 | $33K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.7% | 738 | 645 | $31K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.0% | 616 | 566 | $26K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.9% | 326 | 266 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.9% | 1,460 | 1,315 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 428 | 407 | $15K |
33 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 153 | $13K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3% | 148 | $11K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 954 | $11K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 74 | $9K |
| 83037 | <1% | 575 | $7K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 600 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 109 | $5K |
| 1160F | <1% | 1,566 | $3K | |
| 3008F | <1% | 1,443 | $3K | |
| 1036F | <1% | 1,560 | $3K | |
| 3078F | <1% | 1,242 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 159 | $3K |
| 93000 | <1% | 163 | $3K | |
| 1159F | <1% | 1,331 | $3K | |
| 4004F | <1% | 1,336 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 101 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $2K |
| 3077F | <1% | 700 | $1K | |
| H2016 | Community support for mental illness or disability, billed per day | <1% | 1,173 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 108 | $584.21 |
| 90785 | <1% | 273 | $355.26 | |
| 3074F | <1% | 143 | $326.54 | |
| 3075F | <1% | 68 | $280.08 | |
| 4010F | <1% | 48 | $269.56 | |
| 1126F | <1% | 63 | $263.00 | |
| 1220F | <1% | 71 | $229.41 | |
| 82044 | <1% | 39 | $223.67 | |
| 3725F | <1% | 55 | $171.63 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | <1% | 43 | $131.75 |
| 82962 | <1% | 33 | $41.05 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 26 | $22.69 |
| 96127 | <1% | 12 | $4.26 | |
| 90686 | <1% | 45 | $0.44 |
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 officialELDERS, ROBERT (SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Prospect Waterbury, INC. | Waterbury, CT | $84.62M |
| Prospect Manchester Hospital, INC. | Manchester, CT | $69.20M |
| Prospect Chartercare RWMC, LLC | Providence, RI | $57.10M |
| Prospect CCMC, LLC | Chester, PA | $40.89M |
| Prospect CT Medical Foundation, INC. | Manchester, CT | $34.07M |
| Prospect Rockville Hospital, INC. | Vernon, CT | $30.06M |
| Prospect Chartercare Sjhsri, LLC | North Providence, RI | $10.94M |
| Prospect DCMH, LLC | Drexel Hill, PA | $10.37M |
| Prospect CCMC, LLC | Chester, PA | $5.46M |
| Alta Los Angeles Hospitals, INC. | Los Angeles, CA | $5.42M |
| Prospect CCMC, LLC | Chester, PA | $5.03M |
| Prospect CCMC, LLC | Chester, PA | $3.71M |
| Prospect Chartercare Physicians, LLC | Cranston, RI | $2.31M |
| Prospect Echn Home Health, INC. | Vernon, CT | $1.75M |
| Prospect Waterbury Home Health, INC. | Watertown, CT | $1.30M |
| Prospect Health Access Network, INC. | Chester, PA | $1.22M |
| Alta Newport Hospital, LLC | Tustin, CA | $1.16M |
| Prospect Health Access Network, INC. | Crum Lynne, PA | $924K |
| Prospect Health Access Network, INC. | Chester, PA | $872K |
| Prospect Health Access Network, INC. | Drexel Hill, PA | $815K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.