Is R.I.S.A.T., LLC flagged for Medicaid fraud?

R.I.S.A.T., LLC (NPI: 1053319368) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does R.I.S.A.T., LLC bill Medicaid?

R.I.S.A.T., LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Methadone Clinic provider. Located in WOONSOCKET, RI.

What is NPI 1053319368?

NPI 1053319368 is the National Provider Identifier for R.I.S.A.T., LLC. They are a Clinic/Center, Methadone Clinic provider based in WOONSOCKET, RI. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

R.I.S.A.T., LLC

Clinic/Center, Methadone Clinic·WOONSOCKET, RI·NPI: 1053319368Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.6M is at the 50th percentile among 5 Clinic/Center, Methadone Clinic providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$21.6M

$21,601,695

Total Claims

651K

Beneficiaries

91K

7.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018

$2.1M

+24%

2019

$2.6M

+32%

2020

$3.5M

+17%

2021

$4.1M

-7%

2022

$3.8M

-17%

2023

$3.2M

-26%

2024

$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 68% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0020Alcohol/drug services; methadone administrationSee all providers →

$14.8M

546K claims

$27.05

$18.95

1.4×

Normal range

H0020Normal range

Alcohol/drug services; methadone administration

$14.8M

546K claims · 68.4%

Your Cost: $27.05/claim|Median: $18.95

1.4× median

H0047Alcohol and/or drug abuse, not otherwise specifiedSee all providers →

$3.5M

15K claims

$227.56

$81.37

2.8×

Top 25%

H0047Top 25%

Alcohol and/or drug abuse, not otherwise specified

$3.5M

15K claims · 16.0%

Your Cost: $227.56/claim|Median: $81.37

2.8× median

G2067Medication-assisted treatment, opioid use disorder, per monthSee all providers →

$2.1M

16K claims

$132.58

$73.29

1.8×

Normal range

G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$2.1M

16K claims · 9.5%

Your Cost: $132.58/claim|Median: $73.29

1.8× median

H0037Community psychiatric supportive treatment program, per diemSee all providers →

$843K

4,230 claims

$199.32

$225.50

0.9×

Normal range

H0037Normal range

Community psychiatric supportive treatment program, per diem

$843K

4,230 claims · 3.9%

Your Cost: $199.32/claim|Median: $225.50

0.9× median

G2078 See all providers →

$145K

4,415 claims

$32.79

$27.04

1.2×

Normal range

G2078Normal range

$145K

4,415 claims · 0.7%

Your Cost: $32.79/claim|Median: $27.04

1.2× median

90832Psychotherapy, 30 minutesSee all providers →

$117K

3,887 claims

$30.08

$41.28

0.7×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$117K

3,887 claims · 0.5%

Your Cost: $30.08/claim|Median: $41.28

0.7× median

G2074 See all providers →

$76K

593 claims

$128.36

$82.20

1.6×

Top 25%

G2074Top 25%

$76K

593 claims · 0.4%

Your Cost: $128.36/claim|Median: $82.20

1.6× median

90853Group psychotherapySee all providers →

$60K

2,221 claims

$26.81

$25.02

1.1×

Normal range

90853Normal range

Group psychotherapy

$60K

2,221 claims · 0.3%

Your Cost: $26.81/claim|Median: $25.02

1.1× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$41K

1,476 claims

$27.81

$74.63

0.4×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$41K

1,476 claims · 0.2%

Your Cost: $27.81/claim|Median: $74.63

0.4× median

90834Psychotherapy, 45 minutesSee all providers →

$13K

150 claims

$85.33

$63.65

1.3×

Top 25%

90834Top 25%

Psychotherapy, 45 minutes

$13K

150 claims · 0.1%

Your Cost: $85.33/claim|Median: $63.65

1.3× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$8K

192 claims

$43.98

$37.81

1.2×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$8K

192 claims · 0.0%

Your Cost: $43.98/claim|Median: $37.81

1.2× median

H0005Alcohol and/or drug services, group counselingSee all providers →

$7K

250 claims

$26.88

$47.35

0.6×

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

$7K

250 claims · 0.0%

Your Cost: $26.88/claim|Median: $47.35

0.6× median

G2076 See all providers →

$6K

37 claims

$165.73

$275.92

0.6×

Normal range

G2076Normal range

$6K

37 claims · 0.0%

Your Cost: $165.73/claim|Median: $275.92

0.6× median

H0036Community psychiatric supportive treatment, per 15 minSee all providers →

$298

7,647 claims

$0.04

$76.05

0.0×

Normal range

H0036Normal range

Community psychiatric supportive treatment, per 15 min

$298

7,647 claims · 0.0%

Your Cost: $0.04/claim|Median: $76.05

0.0× median

H0006Alcohol and/or drug services, case managementSee all providers →

49K claims

$0.00

$43.10

—

Normal range

H0006Normal range

Alcohol and/or drug services, case management

49K claims · 0.0%

Your Cost: $0.00/claim|Median: $43.10

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