Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

NORTHEAST BEHAVIORAL ASSOCIATES

Psychologist, Clinical Child & Adolescent·CRANSTON, RI·NPI: 1659382315Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$56.7M

$56,702,351

Total Claims

423K

Beneficiaries

66K

6.5 claims/patient

Avg Cost/Claim

$134

Monthly Spending Trend

Yearly Spending

2018
$4.7M
+49%
2019
$7.0M
+26%
2020
$8.9M
+6%
2021
$9.4M
-7%
2022
$8.7M
+1%
2023
$8.8M
+4%
2024
$9.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 48% of total spending.

H2019Top 25%

Therapeutic behavioral services, per 15 min

$27.3M

191K claims · 48.1%

Your Cost: $143.00/claim|Median: $84.12
1.7× median
H2014Normal range

Skills training & development, per 15 min

$16.3M

116K claims · 28.7%

Your Cost: $140.17/claim|Median: $83.88
1.7× median
T1027Top 10%

Family training and counseling, per 15 minutes

$4.5M

39K claims · 7.9%

Your Cost: $115.00/claim|Median: $53.00
2.2× median
90837Top 25%

Psychotherapy, 60 minutes

$4.1M

34K claims · 7.3%

Your Cost: $122.40/claim|Median: $85.66
1.4× median
90887Top 10%

Interpretation/explanation of results

$1.1M

8,170 claims · 1.9%

Your Cost: $129.68/claim|Median: $47.55
2.7× median
90834Top 25%

Psychotherapy, 45 minutes

$758K

8,532 claims · 1.3%

Your Cost: $88.90/claim|Median: $63.65
1.4× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$612K

3,874 claims · 1.1%

Your Cost: $157.92/claim|Median: $167.38
0.9× median
90882Top 25%

Environmental intervention

$577K

9,183 claims · 1.0%

Your Cost: $62.82/claim|Median: $45.05
1.4× median
H0031Normal range

Mental health assessment by non-physician

$347K

2,370 claims · 0.6%

Your Cost: $146.31/claim|Median: $96.18
1.5× median
90791Top 25%

Psychiatric diagnostic evaluation

$301K

2,206 claims · 0.5%

Your Cost: $136.44/claim|Median: $99.21
1.4× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$288K

1,303 claims · 0.5%

Your Cost: $221.16/claim|Median: $146.45
1.5× median
97156Top 25%

$260K

1,935 claims · 0.5%

Your Cost: $134.12/claim|Median: $88.65
1.5× median
90832Normal range

Psychotherapy, 30 minutes

$75K

1,541 claims · 0.1%

Your Cost: $48.37/claim|Median: $41.28
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$71K

629 claims · 0.1%

Your Cost: $112.87/claim|Median: $74.09
1.5× median
99214Top 25%

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

$52K

535 claims · 0.1%

Your Cost: $97.19/claim|Median: $53.41
1.8× median
H0032Top 25%

Mental health service plan development

$38K

220 claims · 0.1%

Your Cost: $174.86/claim|Median: $80.64
2.2× median
T1019Normal range

Personal care services, per 15 min

$31K

427 claims · 0.1%

Your Cost: $71.65/claim|Median: $82.47
0.9× median
H0046Normal range

Mental health services, not otherwise specified

$30K

409 claims · 0.1%

Your Cost: $73.95/claim|Median: $85.02
0.9× median
T1024Normal range

Evaluation & treatment, integrated specialty team

$21K

232 claims · 0.0%

Your Cost: $89.31/claim|Median: $119.08
0.8× median
T1016Normal range

Case management, each 15 min

$8K

513 claims · 0.0%

Your Cost: $14.95/claim|Median: $49.62
0.3× median
97151Normal range

Behavior identification assessment

$7K

45 claims · 0.0%

Your Cost: $151.60/claim|Median: $161.10
0.9× median
H2012Normal range

Behavioral health day treatment, per hour

$4K

32 claims · 0.0%

Your Cost: $125.91/claim|Median: $137.86
0.9× median
H2016Normal range

Comprehensive community support services, per 15 min

$4K

1,402 claims · 0.0%

Your Cost: $2.70/claim|Median: $321.53
0.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$2K

24 claims · 0.0%

Your Cost: $87.74/claim|Median: $77.33
1.1× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$2K

12 claims · 0.0%

Your Cost: $165.43/claim|Median: $111.09
1.5× median

Other Top Providers in Rhode Island

View all →

Rhode Island Hospital

General Acute Care Hospital

$380.8M

Dominion Diagnostics, LLC

Clinical Medical Laboratory

$249.2M

The Fogarty Center

Day Training, Developmentally Disabled Services

$224.3M

Perspectives Corporation

Day Training Developmentally Disabled Services

$182.9M

The Providence Center INC

Counselor, Mental Health

$170.8M

Similar Providers

Other top providers in Psychologist, Clinical Child & Adolescent

Spectrum Health Primary Care Partners

Grand Rapids, MI

$219.6M

← All providersAll providers in Rhode Island →How we detect fraud →