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    OpenPayerNPI Medicare & MedicaidButler Hospital
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    Butler Hospital — Billing Profile & Reimbursement Data

    NPI 1104801349 · Providence, RI · Psychiatric Hospital

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    Butler Hospital is a psychiatric hospital provider located in Providence, Rhode Island. This profile covers 0 Medicare and 27 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationButler Hospital
    Address345 Blackstone Blvd
    CityProvidence
    StateRI
    ZIP02906
    TaxonomyPsychiatric Hospital
    NPI EnumeratedDecember 9, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$9.6M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0035Mental health partial hospitalization, treatment, less than 24 hours9,300$590$5.5M
    S9485Crisis intervention mental health services, per diem4,500$290$1.3M
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…5,540$170$925.7K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1,400$500$699.6K
    H0025Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)900$310$282.6K
    G0177Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)980$180$173.6K
    H0047Alcohol and/or other drug abuse services, not otherwise specified230$510$117.7K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…1,010$110$112.3K
    G0410Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes690$160$107.2K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…500$180$89.5K

    Showing 1–10 of 27

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Rhode Island median

    27 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1450330$50$2.7M
    H0035Mental health partial hospitalization, treatment, less than 24 hours110220$740$2.6M
    H0047Alcohol and/or other drug abuse services, not otherwise specified19201,280$220$1.6M
    H0025Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)310760$260$510K
    S9485Crisis intervention mental health services, per diem430160$350$494.7K
    J7050Infusion, normal saline solution, 250 cc81080$190$373.6K
    H0015Alcohol 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…910540$160$333.3K
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes4390510$10$187.5K
    G0177Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)110980$180$173.7K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…5211070$70$157.8K

    Showing 1–10 of 27

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Butler Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ralph SantoroRIInternal Medicine Physician$66.2K$2.1M
    Julie ForrestRIPsychiatry Physician$21.3K$1M
    Kevin BaillRIPsychiatry Physician$9.8K$892.3K
    Lisa SheaRIPsychiatry Physician$26.8K$420.8K
    Kelly CollinsRIPsychiatric/Mental Health Nurse Practitioner$12.1K$324.2K
    Alvaro OlivaresRIPsychiatry Physician$26.5K$139.5K
    Umer AkbarNJNeurology Physician$29.1K$63.5K
    Paul LiebermanRIPsychiatry Physician$91.8K$0
    Amy HaltRIPsychiatry Physician$90K$0
    Brian TesarRIPsychiatry Physician$39.9K$35.7K

    Nearby Providers

    Other providers in the same ZIP code as Butler Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Miriam HospitalRIGeneral Acute Care Hospital$0$138.6M
    Family Service Of Rhode Island Inc.RITaxi$0$12M
    Phoenix Houses Of New England, Inc.RISubstance Abuse Rehabilitation Facility$0$7.3M
    Thomas MulveyRIPediatric Dentistry$0$6.3M
    Silver Fern Practice, LLCRIPhysical Therapist$0$5M
    Providence Interventional Associates Ii LLCRIAmbulatory Surgical Clinic/Center$1.9M$8.3K
    Gaurav GuptaRIOphthalmology Physician$1.8M$5.8K
    Robert EdenRIPediatrics Physician$0$1.7M
    Brian AckermanRIPsychiatry Physician$24.8K$1.5M
    Steven HirschRIClinical Neuropsychologist$0$1.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Rhode Island Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Butler Hospital — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island