Agency
The Providence Community Health Centers, INC.
The Providence Community Health Centers, INC. was paid $13.36M by Medicaid between Jan 2018 and Dec 2024, across 109 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoTHE PROVIDENCE COMMUNITY HEALTH CENTERS, INC.
PROVIDENCE, RI 02905
PROVIDENCE, RI 02905
33aNPI1891775128assigned 01/20/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$13.36M
24GClaims347,292
24DCodes billed109
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Rhode Island
Rank by total paid#6 of 51
Median peer was paid$731K
This provider vs. median18×
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 | 47,607 | $1.58M | |
| 2019 | 141,612 | $5.14M | |
| 2020 | 38,269 | $1.09M | |
| 2021 | 26,870 | $824K | |
| 2022 | 33,987 | $1.47M | |
| 2023 | 30,543 | $1.39M | |
| 2024incomplete | 28,404 | $1.88M |
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 | 31% | 94,220 | 87,171 | $4.20M |
| 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 | 23% | 51,739 | 47,367 | $3.11M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 7.6% | 26,659 | 20,762 | $1.02M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.7% | 17,618 | 13,754 | $897K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 6,529 | 5,677 | $356K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 5,414 | 5,347 | $319K |
| 87428 | 1.8% | 4,400 | 4,256 | $238K | |
| V2020 | Frames, purchases | 1.8% | 5,446 | 5,218 | $237K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face 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 fqhc visit | 1.6% | 6,166 | 5,157 | $219K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 25,860 | 25,015 | $202K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.4% | 5,087 | 4,861 | $193K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 2,990 | 2,984 | $175K |
97 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 10,395 | $166K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 10,801 | $108K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 2,854 | $107K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,566 | $103K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 10,445 | $98K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 951 | $92K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 635 | $92K |
| 99051 | <1% | 3,629 | $85K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,667 | $85K |
| 2000F | <1% | 523 | $71K | |
| 2001F | <1% | 506 | $69K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 888 | $69K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 3,999 | $67K |
| 3008F | <1% | 499 | $67K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,269 | $66K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,911 | $60K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | <1% | 2,638 | $59K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 834 | $50K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 665 | $41K |
| 1159F | <1% | 265 | $37K | |
| 1160F | <1% | 265 | $37K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 688 | $37K |
| 1000F | <1% | 284 | $35K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,072 | $34K |
| 82962 | <1% | 1,614 | $34K | |
| 99460 | <1% | 727 | $33K | |
| 3078F | <1% | 243 | $32K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,881 | $30K |
| 81025 | <1% | 4,939 | $25K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 4,518 | $20K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 4,386 | $19K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,234 | $17K |
| 3074F | <1% | 125 | $16K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 355 | $15K |
| 76801 | <1% | 300 | $14K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 715 | $12K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 88 | $11K |
| G0008 | Administration of influenza virus vaccine | <1% | 417 | $11K |
| 90461 | <1% | 325 | $11K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 319 | $10K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 220 | $9K |
| 94010 | <1% | 422 | $9K | |
| 94664 | <1% | 751 | $8K | |
| 94760 | <1% | 1,504 | $7K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 370 | $7K |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | <1% | 242 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 95 | $7K |
| 81002 | <1% | 2,173 | $6K | |
| 1220F | <1% | 58 | $6K | |
| 90473 | <1% | 610 | $6K | |
| 93000 | <1% | 252 | $6K | |
| 3075F | <1% | 41 | $6K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 100 | $5K |
| 92250 | <1% | 177 | $5K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 274 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 95 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 159 | $5K |
| 87210 | <1% | 1,065 | $4K | |
| 99385 | <1% | 39 | $4K | |
| 3079F | <1% | 28 | $3K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 66 | $3K |
| 0012A | <1% | 82 | $3K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 40 | $3K |
| 17110 | <1% | 88 | $3K | |
| 2028F | <1% | 15 | $2K | |
| 99462 | <1% | 91 | $2K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 28 | $2K |
| 90662 | <1% | 100 | $2K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 39 | $2K |
| 92341 | <1% | 101 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 77 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 102 | $1K |
| 96127 | <1% | 101 | $1K | |
| 90480 | <1% | 34 | $1K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 28 | $906.38 |
| 99442 | <1% | 69 | $763.86 | |
| 11721 | <1% | 32 | $724.31 | |
| 0011A | <1% | 29 | $636.34 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $618.31 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 20 | $517.68 |
| 96160 | <1% | 66 | $437.50 | |
| 90694 | <1% | 21 | $364.85 | |
| T1017 | Case management, billed per 15 minutes | <1% | 19 | $332.85 |
| 99173 | <1% | 57 | $323.23 | |
| 69209 | <1% | 12 | $113.19 | |
| 90686 | <1% | 380 | $11.68 | |
| J7610 | Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg | <1% | 13 | $5.54 |
| 90674 | <1% | 127 | $5.30 | |
| 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% | 15 | $1.18 |
| 90677 | <1% | 42 | $0.42 | |
| 90697 | <1% | 34 | $0.34 | |
| 90715 | <1% | 32 | $0.32 | |
| H0033 | Oral medication administration, direct observation | <1% | 16 | $0.16 |
| 90681 | <1% | 13 | $0.13 | |
| 90619 | <1% | 12 | $0.12 | |
| 90656 | <1% | 13 | $0.09 | |
| T1016 | Case management, each 15 minutes | 0% | 28 | $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 officialCABRAL, KEVIN (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| The Providence Community Health Centers, INC. | Providence, RI | $8.35M |
| The Providence Community Health Centers, INC. | Providence, RI | $20K |
| The Providence Community Health Centers, INC. | Providence, RI | $14K |
| The Providence Community Health Centers, INC. | Providence, RI | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.