Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ST. MARY'S HOME FOR CHILDREN

NPI: 1770698011 · NORTH PROVIDENCE, RI 02911 · Psychiatric Residential Treatment Facility · NPI assigned 08/19/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.

$19.73M
Total Medicaid Paid
1,526
Total Claims
1,351
Beneficiaries
1
Codes Billed
2018-02
First Month
2023-08
Last Month

Provider Details

Authorized OfficialSMITH, BERNARD (EXECUTIVE DIRECTOR)
NPI Enumeration Date08/19/2006

Related Entities

Other providers sharing the same authorized official: SMITH, BERNARD

ProviderCityStateTotal Paid
ST. MARY'S HOME FOR CHILDREN CRANSTON RI $1.59M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 281 $828K
2020 305 $4.42M
2021 378 $5.43M
2022 361 $5.61M
2023 201 $3.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 1,526 1,351 $19.73M