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SOUTH BAY MENTAL HEALTH CENTER, INC.

Clinic/Center, Adolescent and Children Mental Health·BROCKTON, MA·NPI: 1033294558Share

Compared to Clinic/Center, Adolescent and Children Mental Health Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.2M is at the 50th percentile among 5 Clinic/Center, Adolescent and Children Mental Health providers.

Active Billing Period:2018-01→2023-04(43 months)
Billing appears to have stoppedLast active: 2023-04

Total Paid

$43.2M

$43,228,453

Total Claims

374K

Beneficiaries

94K

4.0 claims/patient

Avg Cost/Claim

$116

Monthly Spending Trend

Yearly Spending

2018
$14.5M
-1%
2019
$14.3M
-23%
2020
$11.0M
-69%
2021
$3.4M
-100%
2022
$9K
-94%
2023
$562

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 71% of total spending.

H2015Normal range

Comprehensive community support services, per 15 min

$30.8M

285K claims · 71.3%

Your Cost: $108.11/claim|Median: $96.24
1.1× median
T1024Top 25%

Evaluation & treatment, integrated specialty team

$6.8M

31K claims · 15.8%

Your Cost: $223.91/claim|Median: $119.08
1.9× median
96153Top 5%

Health/behavior intervention, group

$2.3M

29K claims · 5.2%

Your Cost: $78.18/claim|Median: $6.67
11.7× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$1.6M

10K claims · 3.7%

Your Cost: $156.19/claim|Median: $84.12
1.9× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$572K

4,562 claims · 1.3%

Your Cost: $125.34/claim|Median: $121.16
1.0× median
H0031Top 25%

Mental health assessment by non-physician

$379K

2,237 claims · 0.9%

Your Cost: $169.30/claim|Median: $96.18
1.8× median
H0032Top 25%

Mental health service plan development

$340K

1,908 claims · 0.8%

Your Cost: $178.44/claim|Median: $80.64
2.2× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$151K

3,468 claims · 0.3%

Your Cost: $43.51/claim|Median: $15.54
2.8× median
90834Normal range

Psychotherapy, 45 minutes

$82K

1,048 claims · 0.2%

Your Cost: $77.92/claim|Median: $63.65
1.2× median
96164Top 25%

$73K

4,159 claims · 0.2%

Your Cost: $17.46/claim|Median: $9.87
1.8× median
T1027Normal range

Family training and counseling, per 15 minutes

$70K

1,350 claims · 0.2%

Your Cost: $52.08/claim|Median: $53.00
1.0× median
97156Normal range

$14K

157 claims · 0.0%

Your Cost: $88.66/claim|Median: $88.65
1.0× median
H2012Normal range

Behavioral health day treatment, per hour

$13K

115 claims · 0.0%

Your Cost: $110.10/claim|Median: $137.86
0.8× median
90887Normal range

Interpretation/explanation of results

$7K

115 claims · 0.0%

Your Cost: $60.77/claim|Median: $47.55
1.3× median
90882Normal range

Environmental intervention

$7K

113 claims · 0.0%

Your Cost: $59.16/claim|Median: $45.05
1.3× median
A0429Top 25%

Ambulance, BLS emergency transport

$5K

19 claims · 0.0%

Your Cost: $252.61/claim|Median: $138.19
1.8× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$5K

54 claims · 0.0%

Your Cost: $83.89/claim|Median: $51.67
1.6× median
A0427Top 25%

Ambulance, ALS emergency transport Level 1

$4K

14 claims · 0.0%

Your Cost: $299.97/claim|Median: $164.22
1.8× median
T1502Top 25%

Administration of oral, intramuscular, or subcutaneous medication

$4K

68 claims · 0.0%

Your Cost: $59.14/claim|Median: $7.86
7.5× median
90847Normal range

Family psychotherapy with patient, 50 min

$4K

45 claims · 0.0%

Your Cost: $82.00/claim|Median: $77.33
1.1× median
99213Top 25%

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

$3K

62 claims · 0.0%

Your Cost: $55.20/claim|Median: $37.81
1.5× median
90791Normal range

Psychiatric diagnostic evaluation

$3K

24 claims · 0.0%

Your Cost: $108.57/claim|Median: $99.21
1.1× median
99214Normal range

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

$2K

34 claims · 0.0%

Your Cost: $73.07/claim|Median: $53.41
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$1K

29 claims · 0.0%

Your Cost: $39.32/claim|Median: $41.28
1.0× median
A0425Normal range

Ground mileage, per statute mile

$326

26 claims · 0.0%

Your Cost: $12.56/claim|Median: $23.36
0.5× median
S0302Normal range

$139

14 claims · 0.0%

Your Cost: $9.96/claim|Median: $9.05
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$128

12 claims · 0.0%

Your Cost: $10.70/claim|Median: $9.10
1.2× median

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$1.35B

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Commonwealth of Mass-dds

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$1.10B

Stavros Center for Independent Living Inc.

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$1.04B

Similar Providers

Other top providers in Clinic/Center, Adolescent and Children Mental Health

Nys Office of Mental Health

Orangeburg, NY

$133.7M

Howard Center INC

Burlington, VT

$130.1M

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