Agency
Thundermist Health Center
Thundermist Health Center was paid $15.82M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoTHUNDERMIST HEALTH CENTER
WOONSOCKET, RI 02895
WOONSOCKET, RI 02895
33aNPI1588691620assigned 06/26/2006
33bProvider typeCase Management Agency
28Total paid$15.82M
24GClaims381,820
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Rhode Island
Rank by total paid#6 of 25
Median peer was paid$959K
This provider vs. median16×
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 | 47,356 | $1.71M | |
| 2019 | 71,485 | $2.61M | |
| 2020 | 46,495 | $1.67M | |
| 2021 | 50,934 | $1.80M | |
| 2022 | 49,991 | $2.22M | |
| 2023 | 63,020 | $3.06M | |
| 2024incomplete | 52,539 | $2.75M |
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 | 45% | 154,688 | 141,039 | $7.09M |
| 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 | 14% | 38,464 | 35,178 | $2.24M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.2% | 36,866 | 21,851 | $1.45M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 5.2% | 29,434 | 20,259 | $822K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.6% | 10,718 | 5,959 | $575K |
| H0044 | Supported housing, per month | 3.6% | 2,309 | 1,712 | $571K |
| 87428 | 2.8% | 7,767 | 7,634 | $439K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 5,011 | 4,500 | $179K |
| T1016 | Case management, each 15 minutes | 1.1% | 5,394 | 2,984 | $174K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 2,391 | 2,337 | $171K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 1.1% | 3,123 | 2,436 | $171K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 2,023 | 1,999 | $159K |
72 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,504 | $145K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 4,840 | $134K |
| G0467 | Community health center visit, returning patient | <1% | 4,630 | $131K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15,295 | $120K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 6,159 | $96K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 9,468 | $92K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 5,595 | $74K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 797 | $70K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 822 | $67K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 935 | $66K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,981 | $58K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 476 | $57K |
| 0012A | <1% | 1,646 | $55K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,744 | $53K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 26 | $47K |
| 0002A | <1% | 1,033 | $42K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 735 | $38K |
| 0011A | <1% | 1,646 | $33K | |
| 0001A | <1% | 883 | $31K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 393 | $31K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,082 | $31K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,189 | $25K |
| 92551 | <1% | 3,472 | $24K | |
| 90837 | Psychotherapy session, about an hour | <1% | 248 | $21K |
| 99442 | <1% | 644 | $21K | |
| 0064A | <1% | 581 | $16K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 472 | $16K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 250 | $16K |
| M0240 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses | <1% | 33 | $15K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 291 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 809 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 867 | $11K |
| 99443 | <1% | 171 | $10K | |
| 0072A | <1% | 225 | $9K | |
| 0134A | <1% | 229 | $9K | |
| 99177 | <1% | 1,898 | $8K | |
| 81025 | <1% | 1,591 | $8K | |
| 99407 | <1% | 371 | $7K | |
| 0071A | <1% | 157 | $7K | |
| 80061 | Lipid panel | <1% | 640 | $6K |
| 0124A | <1% | 153 | $6K | |
| 0004A | <1% | 206 | $6K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 135 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 257 | $5K |
| 90480 | <1% | 138 | $5K | |
| 92250 | <1% | 140 | $5K | |
| G0008 | Administration of influenza virus vaccine | <1% | 178 | $4K |
| 81002 | <1% | 1,130 | $2K | |
| 94010 | <1% | 99 | $2K | |
| 99406 | <1% | 167 | $2K | |
| 86701 | <1% | 212 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 81 | $1K |
| 91306 | <1% | 32 | $1K | |
| S9441 | Asthma education, non-physician provider, per session | <1% | 30 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $789.07 |
| 90686 | <1% | 144 | $718.66 | |
| 80305 | <1% | 93 | $584.95 | |
| 0003A | <1% | 12 | $499.56 | |
| 94760 | <1% | 165 | $386.54 | |
| 82948 | <1% | 142 | $352.68 | |
| 90653 | <1% | 12 | $340.57 | |
| 95012 | <1% | 25 | $324.00 | |
| 86803 | <1% | 29 | $289.23 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 18 | $249.44 |
| 99441 | <1% | 12 | $154.92 | |
| 90474 | <1% | 16 | $129.60 | |
| 87210 | <1% | 13 | $46.85 | |
| 82947 | <1% | 14 | $45.50 | |
| 87220 | <1% | 12 | $43.31 | |
| 90785 | <1% | 14 | $42.00 | |
| 90674 | <1% | 63 | $31.50 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 50 | $6.44 |
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 officialAGUDELO, CKARLA (DIRECTOR OF CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| Thundermist Health Center | Woonsocket, RI | $18.60M |
| Thundermist Health Center | Wakefield, RI | $337K |
| Thundermist Health Center | West Warwick, RI | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.