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NPI 1245239680 · Lincoln, RI · Mental Health Clinic/Center (Including Community Mental Health Center)
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Fellowship Health Resources, Inc is a mental health clinic/center (including community mental health center) provider located in Lincoln, Rhode Island. This profile covers 0 Medicare and 31 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Fellowship Health Resources, Inc |
| Address | 24 Albion Rd Ste 210 |
| City | Lincoln |
| State | RI |
| ZIP | 02865 |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| NPI Enumerated | July 19, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $49.1M |
| Medicare | $0 |
This provider appears to operate almost entirely in the Medicaid space: there is no Medicare billing on file while total Medicaid revenue is $49.1M, indicating an effectively single-payer Medicaid-focused operation rather than a mixed Medicare/Medicaid ambulatory provider.
Revenue concentration is high: the precomputed top three Medicaid codes account for 72.1% of the provider's total Medicaid revenue, showing the business is heavily dependent on a small set of service lines for the majority of its income.
Long-term residential services are a major revenue driver: H0019 generates $18.9M (38.4% of Medicaid revenue) and 25.2K claims, consistent with operating substantial non-medical residential treatment capacity where per-diem billing without room and board is central to the service mix.
Assertive community treatment is a core competency and a statewide outlier: H0040 represents $12.8M (26.1% of Medicaid revenue) across 95.2K claims and ranks #1 in-state; the dataset labels this as an "extreme outlier," indicating the provider runs an unusually large ACT program relative to other Rhode Island peers.
High-volume, time-based outpatient and rehabilitative services support community care: codes such as H0037 (9.7K claims, $3.7M), H2017 (34.7K claims, $2.4M), and H2018 (12.3K claims, $2M) reflect substantial per-diem or per-15-minute delivery of community psychiatric supportive treatment and psychosocial rehabilitation, consistent with multi-setting ambulatory behavioral health programming.
The provider is a leading in-state performer on several specific codes: it ranks #1 of state peers for H0040, T1020, H2017, and H0034, signaling dominance in assertive community treatment, personal care services as billed here, psychosocial rehabilitation per 15 minutes, and medication training/support where those code populations exist.
Several psychotherapy and E/M codes show unusually high volume relative to state providers: 90834 ranks in the 99th percentile statewide, 90837 in the 97th percentile, and 99211 in the 98th percentile, suggesting the organization delivers a large quantity of individual psychotherapy and brief office-based visits in addition to its programmatic per-diem services.
Tenure is long: the NPI was enumerated on 2005-07-19 (about 21 years ago), supporting the likelihood that these high-volume programs have been established over an extended operating history rather than recently built capacity.
While many codes have typical in-state volumes, a few high-average-paid per-claim codes (for example T1020 at $3172 avg paid/claim and 969 claims producing $3.1M) indicate the provider also bills episodic or bundled personal care services that contribute materially to revenue despite smaller claim counts.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
31 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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 | 25,250 | $750 | $18.9M |
| H0040 | Assertive community treatment program, per diem | 95,180 | $140 | $12.8M |
| H0037 | Community psychiatric supportive treatment program, per diem | 9,710 | $380 | $3.7M |
| T1020 | Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify… | 970 | $3,170 | $3.1M |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 34,740 | $70 | $2.4M |
| H2018 | Psychosocial rehabilitation services, per diem | 12,270 | $160 | $2M |
| 90834 | In 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… | 17,860 | $90 | $1.7M |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | 35,750 | $20 | $750.7K |
| H0038 | Self‑help/peer services, per 15 minutes | 5,650 | $130 | $734.2K |
| T1017 | Targeted case management, each 15 minutes | 2,170 | $250 | $549.8K |
Showing 1–10 of 31
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
31 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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 | 5 | 30 | 1,530 | $360 | $9.7M |
| H0040 | Assertive community treatment program, per diem | 1 | 20 | 350 | $640 | $6.3M |
| H0037 | Community psychiatric supportive treatment program, per diem | 8 | 70 | 190 | $380 | $3.2M |
| T1020 | Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify… | 1 | 10 | 970 | $3,170 | $3.1M |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 1 | 10 | 34,740 | $70 | $2.4M |
| H2018 | Psychosocial rehabilitation services, per diem | 6 | 30 | 4,460 | $60 | $864.2K |
| H2015 | Comprehensive community support services, per 15 minutes | 3 | 10 | 40 | $110 | $834.2K |
| H2031 | Mental health clubhouse services, per diem | 3 | 10 | 3,400 | $50 | $700.3K |
| H0046 | Mental health services, not otherwise specified | 23 | 70 | 2,310 | $70 | $698K |
| X0341 | N/A | 3 | 10 | 270 | $450 | $439.4K |
Showing 1–10 of 31
Other providers in the same ZIP code as Fellowship Health Resources, Inc, ranked by combined Medicare and Medicaid revenue.
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