Phoenix Houses of New England, INC.

Phoenix Houses of New England, INC. was paid $7.26M by Medicaid between Jan 2018 and Nov 2021, across 14 billing codes. Its largest line is 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 — 86% of everything it billed.

Compared with peers

Next to other Mental Health Counselor providers in Rhode Island

Rank by total paid#3 of 257

Median peer was paid$31K

This provider vs. median233×

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	4,308	$516K
2019	16,058	$1.91M
2020	15,666	$2.09M
2021	18,922	$2.74M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	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	86%	43,068	1,815	$6.23M
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	6.6%	6,786	4,529	$477K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	3.5%	1,272	135	$252K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	1.4%	1,209	603	$103K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	1,132	825	$57K
90792	Psychiatric diagnostic evaluation with medical services	<1%	408	396	$43K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education	<1%	196	34	$30K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	249	181	$24K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	134	62	$13K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	293	158	$12K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	83	81	$11K
99205	Prolong outpt/office vis	<1%	41	39	$5K

2 more codes

99204	Doctor's office visit, new patient (more involved)	<1%	24	$950.11
90853	Group psychotherapy (other than of a multiple-family group)	<1%	59	$36.00

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 officialMUMMA, PETER (PRESIDENT/ CEO)