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The Providence Center INC

Counselor, Mental Health·Providence, RI·NPI: 1104847946Share

Compared to Counselor, Mental Health Peers

Total spending distribution among 27 providers in this specialty

P25MedianP75P90

This provider's total spending of $170.8M is at the 90th percentile among 27 Counselor, Mental Health providers.

Above 90th percentile for this specialty — higher spending than 24 of 27 peers

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

Total Paid

$170.8M

$170,758,162

Total Claims

1.6M

Beneficiaries

676K

2.4 claims/patient

Avg Cost/Claim

$106

#578 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

The Providence Center INC is a Counselor, Mental Health provider based in Providence, RI. From the 2018–2024 period, this provider received $170.8M in Medicaid payments across 1.6M claims.

Why This Matters

This provider received $170.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,344 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 2% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$22.2M
+2%
2019
$22.7M
-6%
2020
$21.5M
+27%
2021
$27.2M
+4%
2022
$28.4M
-5%
2023
$27.0M
-19%
2024
$21.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0037 (Community psychiatric supportive treatment program, per diem)) accounts for 51% of total spending.

H0037Normal range

Community psychiatric supportive treatment program, per diem

$86.6M

216K claims · 50.7%

Your Cost: $401.74/claim|Median: $225.50
1.8× median
H0019Normal range

Behavioral health; residential, per diem

$29.4M

224K claims · 17.2%

Your Cost: $131.05/claim|Median: $357.16
0.4× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$27.2M

25K claims · 15.9%

Your Cost: $1,094.68/claim|Median: $266.41
4.1× median
90834Normal range

Psychotherapy, 45 minutes

$5.8M

88K claims · 3.4%

Your Cost: $65.78/claim|Median: $63.65
1.0× median
99214Top 25%

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

$4.1M

49K claims · 2.4%

Your Cost: $83.50/claim|Median: $53.41
1.6× median
H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$3.3M

13K claims · 1.9%

Your Cost: $249.65/claim|Median: $369.55
0.7× median
99213Normal range

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

$2.2M

41K claims · 1.3%

Your Cost: $53.24/claim|Median: $37.81
1.4× median
S9485Normal range

Crisis intervention mental health services, per diem

$1.7M

4,507 claims · 1.0%

Your Cost: $374.32/claim|Median: $501.33
0.7× median
X0341Normal range

$1.3M

4,055 claims · 0.8%

Your Cost: $328.96/claim|Median: $384.84
0.9× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$1.2M

431K claims · 0.7%

Your Cost: $2.83/claim|Median: $76.05
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$1.1M

22K claims · 0.6%

Your Cost: $48.37/claim|Median: $41.28
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$1.0M

8,555 claims · 0.6%

Your Cost: $119.18/claim|Median: $99.21
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$796K

11K claims · 0.5%

Your Cost: $71.32/claim|Median: $85.66
0.8× median
90847Normal range

Family psychotherapy with patient, 50 min

$758K

11K claims · 0.4%

Your Cost: $70.29/claim|Median: $77.33
0.9× median
H0015Top 25%

Alcohol and/or drug abuse, intensive outpatient, per hour

$720K

3,836 claims · 0.4%

Your Cost: $187.80/claim|Median: $129.75
1.4× median
H0044Normal range

Supported housing, per diem

$704K

2,690 claims · 0.4%

Your Cost: $261.66/claim|Median: $797.87
0.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$683K

32K claims · 0.4%

Your Cost: $21.62/claim|Median: $55.04
0.4× median
H2023Normal range

Supported employment, per 15 min

$531K

7,106 claims · 0.3%

Your Cost: $74.69/claim|Median: $103.94
0.7× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$502K

4,907 claims · 0.3%

Your Cost: $102.32/claim|Median: $392.63
0.3× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$455K

1,930 claims · 0.3%

Your Cost: $235.51/claim|Median: $108.91
2.2× median
H2011Normal range

Crisis intervention service, per 15 minutes

$200K

2,531 claims · 0.1%

Your Cost: $78.92/claim|Median: $215.80
0.4× median
99211Top 25%

Office/outpatient visit, minimal complexity

$138K

6,165 claims · 0.1%

Your Cost: $22.44/claim|Median: $12.93
1.7× median
H0043Top 5%

Supported housing, per diem

$115K

67 claims · 0.1%

Your Cost: $1,715.78/claim|Median: $164.87
10.4× median
90846Normal range

Family psychotherapy without patient, 50 min

$76K

1,081 claims · 0.0%

Your Cost: $70.21/claim|Median: $76.61
0.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$57K

1,023 claims · 0.0%

Your Cost: $55.30/claim|Median: $74.63
0.7× median
90853Normal range

Group psychotherapy

$39K

1,315 claims · 0.0%

Your Cost: $29.83/claim|Median: $25.02
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$25K

203 claims · 0.0%

Your Cost: $123.48/claim|Median: $74.09
1.7× median
3074FTop 1%

$22K

1,340 claims · 0.0%

Your Cost: $16.15/claim|Median: $0.11
146.8× median
3078FTop 1%

$18K

1,162 claims · 0.0%

Your Cost: $15.75/claim|Median: $0.08
196.9× median
3079FTop 1%

$8K

349 claims · 0.0%

Your Cost: $22.84/claim|Median: $0.12
190.3× median

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