Behavioral
Rise, INC
Rise, INC was paid $263.81M by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 40% of everything it billed.
33Billing provider infoRISE, INC
BOISE, ID 83713
BOISE, ID 83713
33aNPI1720049190assigned 03/28/2006
33bProvider typeClinical Social Worker
28Total paid$263.81M
24GClaims2,097,171
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Social Worker providers in Idaho
Rank by total paid#1 of 67
Median peer was paid$34K
This provider vs. median7,662×
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 | 249,427 | $22.78M | |
| 2019 | 257,568 | $26.32M | |
| 2020 | 203,047 | $29.84M | |
| 2021 | 272,323 | $37.58M | |
| 2022 | 368,042 | $43.22M | |
| 2023 | 364,742 | $50.81M | |
| 2024incomplete | 382,022 | $53.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 40% | 274,505 | 9,393 | $105.53M |
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 26% | 467,609 | 27,837 | $69.50M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 9.9% | 285,884 | 17,952 | $26.09M |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 6.4% | 202,549 | 23,522 | $16.90M |
| T2017 | Habilitation, residential, waiver; 15 minutes | 5.6% | 193,258 | 14,063 | $14.79M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 4.8% | 175,595 | 8,760 | $12.74M |
| H2032 | Activity therapy, per 15 minutes | 1.5% | 79,591 | 7,338 | $3.98M |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 1.4% | 156,565 | 9,985 | $3.78M |
| 97537 | 1.4% | 131,222 | 7,198 | $3.71M | |
| T2019 | Habilitation, supported employment, waiver; per 15 minutes | 1.2% | 47,228 | 3,679 | $3.17M |
| S5100 | Day care services, adult; per 15 minutes | <1% | 50,033 | 6,433 | $1.64M |
| S5151 | Unskilled respite care, not hospice; per diem | <1% | 1,530 | 901 | $557K |
19 more codes
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 7,601 | $542K |
| H0032 | Mental health service plan development by non-physician | <1% | 3,343 | $283K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,989 | $157K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 8,026 | $112K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,405 | $80K |
| G9002 | Coordinated care fee, maintenance rate | <1% | 2,848 | $70K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 772 | $67K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 3,997 | $57K |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 169 | $15K |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutes | <1% | 165 | $15K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 69 | $6K |
| Q3014 | Telehealth originating site facility fee | <1% | 297 | $5K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 32 | $4K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 88 | $4K |
| 97151 | <1% | 30 | $2K | |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | <1% | 21 | $1K |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 468 | $10.92 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 55 | $0.00 |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 0% | 227 | $0.00 |
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 officialBRITO, MABEL (ACCOUNTS RECEIVABLE MANAGER)