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

⚖️ Compare🖨️ Print Report

SOUTH BAY MENTAL HEALTH CENTER, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center)·BROCKTON, MA·NPI: 1023096864Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $112.0M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2021-05(41 months)
Billing appears to have stoppedLast active: 2021-05

Total Paid

$112.0M

$112,043,522

Total Claims

1.3M

Beneficiaries

429K

3.1 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$40.2M
-16%
2019
$33.7M
-14%
2020
$29.0M
-69%
2021
$9.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 40% of total spending.

90834Normal range

Psychotherapy, 45 minutes

$45.2M

552K claims · 40.3%

Your Cost: $81.88/claim|Median: $63.65
1.3× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$29.8M

288K claims · 26.6%

Your Cost: $103.40/claim|Median: $84.12
1.2× median
T1027Top 25%

Family training and counseling, per 15 minutes

$15.1M

178K claims · 13.4%

Your Cost: $84.64/claim|Median: $53.00
1.6× median
H2012Normal range

Behavioral health day treatment, per hour

$4.6M

68K claims · 4.1%

Your Cost: $68.37/claim|Median: $137.86
0.5× median
H2014Normal range

Skills training & development, per 15 min

$4.5M

32K claims · 4.0%

Your Cost: $139.38/claim|Median: $83.88
1.7× median
90882Normal range

Environmental intervention

$2.3M

45K claims · 2.1%

Your Cost: $51.93/claim|Median: $45.05
1.2× median
90887Normal range

Interpretation/explanation of results

$2.3M

41K claims · 2.1%

Your Cost: $56.99/claim|Median: $47.55
1.2× median
90847Normal range

Family psychotherapy with patient, 50 min

$2.0M

24K claims · 1.8%

Your Cost: $84.90/claim|Median: $77.33
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$2.0M

17K claims · 1.8%

Your Cost: $117.61/claim|Median: $99.21
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$1.3M

31K claims · 1.1%

Your Cost: $41.27/claim|Median: $41.28
1.0× median
99214Normal range

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

$981K

15K claims · 0.9%

Your Cost: $63.82/claim|Median: $53.41
1.2× median
99213Normal range

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

$841K

18K claims · 0.8%

Your Cost: $46.91/claim|Median: $37.81
1.2× median
H0015Normal range

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

$221K

2,976 claims · 0.2%

Your Cost: $74.20/claim|Median: $129.75
0.6× median
H0031Normal range

Mental health assessment by non-physician

$179K

1,931 claims · 0.2%

Your Cost: $92.69/claim|Median: $96.18
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$147K

1,150 claims · 0.1%

Your Cost: $127.75/claim|Median: $111.09
1.1× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$134K

1,138 claims · 0.1%

Your Cost: $117.32/claim|Median: $84.03
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$117K

1,405 claims · 0.1%

Your Cost: $83.61/claim|Median: $85.66
1.0× median
H0032Top 25%

Mental health service plan development

$97K

718 claims · 0.1%

Your Cost: $134.59/claim|Median: $80.64
1.7× median
H0046Normal range

Mental health services, not otherwise specified

$85K

2,424 claims · 0.1%

Your Cost: $35.20/claim|Median: $85.02
0.4× median
90853Normal range

Group psychotherapy

$71K

2,416 claims · 0.1%

Your Cost: $29.53/claim|Median: $25.02
1.2× median
97156Normal range

$49K

406 claims · 0.0%

Your Cost: $119.46/claim|Median: $88.65
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$28K

368 claims · 0.0%

Your Cost: $76.88/claim|Median: $74.09
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$21K

765 claims · 0.0%

Your Cost: $27.82/claim|Median: $25.06
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$15K

133 claims · 0.0%

Your Cost: $109.20/claim|Median: $96.24
1.1× median
T2022Normal range

Case management, per month

$4K

22 claims · 0.0%

Your Cost: $171.07/claim|Median: $202.77
0.8× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$2K

25 claims · 0.0%

Your Cost: $67.20/claim|Median: $57.85
1.2× median
99443Normal range

Telephone E/M by physician, 21-30 min

$737

320 claims · 0.0%

Your Cost: $2.30/claim|Median: $32.55
0.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$526

131 claims · 0.0%

Your Cost: $4.01/claim|Median: $22.44
0.2× median

Other Top Providers in Massachusetts

View all →

Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

← All providersAll providers in Massachusetts →How we detect fraud →