Is BRIDGEWELL, INC flagged for Medicaid fraud?

BRIDGEWELL, INC (NPI: 1033262860) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does BRIDGEWELL, INC bill Medicaid?

BRIDGEWELL, INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in LOWELL, MA.

What is NPI 1033262860?

NPI 1033262860 is the National Provider Identifier for BRIDGEWELL, INC. They are a Community/Behavioral Health provider based in LOWELL, MA. This NPI is registered with the CMS NPI Registry.

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BRIDGEWELL, INC

Community/Behavioral Health·LOWELL, MA·NPI: 1033262860Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$43.4M

$43,358,862

Total Claims

486K

Beneficiaries

169K

2.9 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018

$5.9M

+7%

2019

$6.4M

-10%

2020

$5.7M

-13%

2021

$5.0M

+16%

2022

$5.8M

+22%

2023

$7.0M

+7%

2024

$7.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 35% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

90834Psychotherapy, 45 minutesSee all providers →

$15.2M

186K claims

$81.49

$63.65

1.3×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$15.2M

186K claims · 35.0%

Your Cost: $81.49/claim|Median: $63.65

1.3× median

S5102Day care services, adult; per 15 minSee all providers →

$10.0M

64K claims

$154.76

$81.10

1.9×

Top 25%

S5102Top 25%

Day care services, adult; per 15 min

$10.0M

64K claims · 23.0%

Your Cost: $154.76/claim|Median: $81.10

1.9× median

H2014Skills training & development, per 15 minSee all providers →

$5.6M

59K claims

$95.13

$83.88

1.1×

Normal range

H2014Normal range

Skills training & development, per 15 min

$5.6M

59K claims · 12.9%

Your Cost: $95.13/claim|Median: $83.88

1.1× median

H0019Behavioral health; residential, per diemSee all providers →

$5.2M

36K claims

$145.65

$357.16

0.4×

Normal range

H0019Normal range

Behavioral health; residential, per diem

$5.2M

36K claims · 12.1%

Your Cost: $145.65/claim|Median: $357.16

0.4× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$2.9M

59K claims

$49.99

$53.41

0.9×

Normal range

99214Normal range

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

$2.9M

59K claims · 6.8%

Your Cost: $49.99/claim|Median: $53.41

0.9× median

T1019Personal care services, per 15 minSee all providers →

$1.4M

20K claims

$69.79

$82.47

0.8×

Normal range

T1019Normal range

Personal care services, per 15 min

$1.4M

20K claims · 3.2%

Your Cost: $69.79/claim|Median: $82.47

0.8× median

H2012Behavioral health day treatment, per hourSee all providers →

$523K

7,789 claims

$67.17

$137.86

0.5×

Normal range

H2012Normal range

Behavioral health day treatment, per hour

$523K

7,789 claims · 1.2%

Your Cost: $67.17/claim|Median: $137.86

0.5× median

90832Psychotherapy, 30 minutesSee all providers →

$463K

10K claims

$44.21

$41.28

1.1×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$463K

10K claims · 1.1%

Your Cost: $44.21/claim|Median: $41.28

1.1× median

90791Psychiatric diagnostic evaluationSee all providers →

$408K

3,640 claims

$112.09

$99.21

1.1×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$408K

3,640 claims · 0.9%

Your Cost: $112.09/claim|Median: $99.21

1.1× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$399K

9,436 claims

$42.28

$37.81

1.1×

Normal range

99213Normal range

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

$399K

9,436 claims · 0.9%

Your Cost: $42.28/claim|Median: $37.81

1.1× median

S5101Day care services, adult, per half daySee all providers →

$313K

4,719 claims

$66.28

$66.43

1.0×

Normal range

S5101Normal range

Day care services, adult, per half day

$313K

4,719 claims · 0.7%

Your Cost: $66.28/claim|Median: $66.43

1.0× median

90853Group psychotherapySee all providers →

$303K

10K claims

$28.95

$25.02

1.2×

Normal range

90853Normal range

Group psychotherapy

$303K

10K claims · 0.7%

Your Cost: $28.95/claim|Median: $25.02

1.2× median

90882Environmental interventionSee all providers →

$227K

4,367 claims

$52.07

$45.05

1.2×

Normal range

90882Normal range

Environmental intervention

$227K

4,367 claims · 0.5%

Your Cost: $52.07/claim|Median: $45.05

1.2× median

99215Office/outpatient visit, high complexitySee all providers →

$151K

2,769 claims

$54.38

$74.09

0.7×

Normal range

99215Normal range

Office/outpatient visit, high complexity

$151K

2,769 claims · 0.3%

Your Cost: $54.38/claim|Median: $74.09

0.7× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$97K

1,244 claims

$78.09

$108.91

0.7×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$97K

1,244 claims · 0.2%

Your Cost: $78.09/claim|Median: $108.91

0.7× median

90847Family psychotherapy with patient, 50 minSee all providers →

$86K

1,028 claims

$84.05

$77.33

1.1×

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

$86K

1,028 claims · 0.2%

Your Cost: $84.05/claim|Median: $77.33

1.1× median

90833Psychotherapy, 30 min, add-on to E/M serviceSee all providers →

$28K

2,417 claims

$11.57

$38.83

0.3×

Normal range

90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$28K

2,417 claims · 0.1%

Your Cost: $11.57/claim|Median: $38.83

0.3× median

99404 See all providers →

$25K

146 claims

$169.28

$104.92

1.6×

Top 25%

99404Top 25%

$25K

146 claims · 0.1%

Your Cost: $169.28/claim|Median: $104.92

1.6× median

90887Interpretation/explanation of resultsSee all providers →

$18K

410 claims

$44.91

$47.55

0.9×

Normal range

90887Normal range

Interpretation/explanation of results

$18K

410 claims · 0.0%

Your Cost: $44.91/claim|Median: $47.55

0.9× median

90785 See all providers →

$8K

2,348 claims

$3.32

$6.43

0.5×

Normal range

90785Normal range

$8K

2,348 claims · 0.0%

Your Cost: $3.32/claim|Median: $6.43

0.5× median

H0046Mental health services, not otherwise specifiedSee all providers →

$4K

67 claims

$53.95

$85.02

0.6×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$4K

67 claims · 0.0%

Your Cost: $53.95/claim|Median: $85.02

0.6× median

G0179Physician recertification for home health plan of careSee all providers →

$1K

130 claims

$10.69

$6.63

1.6×

Top 25%

G0179Top 25%

Physician recertification for home health plan of care

$1K

130 claims · 0.0%

Your Cost: $10.69/claim|Median: $6.63

1.6× median

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