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

Northeast Health Services, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center)·Taunton, MA·NPI: 1225067481Share

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 $121.1M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$121.1M

$121,149,594

Total Claims

1.3M

Beneficiaries

755K

1.7 claims/patient

Avg Cost/Claim

$95

#992 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Northeast Health Services, LLC is a Clinic/Center, Mental Health (Including Community Mental Health Center) provider based in Taunton, MA. From the 2018–2024 period, this provider received $121.1M in Medicaid payments across 1.3M claims.

Why This Matters

This provider received $121.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,143 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 255% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$8.7M
+9%
2019
$9.5M
+13%
2020
$10.8M
+15%
2021
$12.4M
+61%
2022
$20.1M
+43%
2023
$28.6M
+8%
2024
$31.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 38% of total spending.

90837Top 10%

Psychotherapy, 60 minutes

$46.3M

339K claims · 38.2%

Your Cost: $136.57/claim|Median: $85.66
1.6× median
90834Top 25%

Psychotherapy, 45 minutes

$42.3M

501K claims · 34.9%

Your Cost: $84.31/claim|Median: $63.65
1.3× median
99214Top 25%

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

$13.4M

174K claims · 11.0%

Your Cost: $76.94/claim|Median: $53.41
1.4× median
90791Top 25%

Psychiatric diagnostic evaluation

$5.0M

34K claims · 4.1%

Your Cost: $145.04/claim|Median: $99.21
1.5× median
90832Normal range

Psychotherapy, 30 minutes

$2.6M

54K claims · 2.2%

Your Cost: $48.17/claim|Median: $41.28
1.2× median
90833Normal range

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

$2.4M

54K claims · 2.0%

Your Cost: $45.00/claim|Median: $38.83
1.2× median
99213Normal range

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

$2.1M

53K claims · 1.7%

Your Cost: $39.99/claim|Median: $37.81
1.1× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$1.4M

8K claims · 1.2%

Your Cost: $189.64/claim|Median: $111.09
1.7× median
90847Top 25%

Family psychotherapy with patient, 50 min

$929K

9K claims · 0.8%

Your Cost: $99.24/claim|Median: $77.33
1.3× median
90868Top 10%

$836K

4K claims · 0.7%

Your Cost: $192.19/claim|Median: $140.66
1.4× median
99404Top 25%

$704K

4K claims · 0.6%

Your Cost: $160.47/claim|Median: $104.92
1.5× median
90882Normal range

Environmental intervention

$655K

13K claims · 0.5%

Your Cost: $49.58/claim|Median: $45.05
1.1× median
99215Top 25%

Office/outpatient visit, high complexity

$618K

4K claims · 0.5%

Your Cost: $140.60/claim|Median: $74.09
1.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$607K

6K claims · 0.5%

Your Cost: $99.86/claim|Median: $108.91
0.9× median
90887Normal range

Interpretation/explanation of results

$600K

9K claims · 0.5%

Your Cost: $63.38/claim|Median: $47.55
1.3× median
H0046Normal range

Mental health services, not otherwise specified

$257K

6K claims · 0.2%

Your Cost: $46.28/claim|Median: $85.02
0.5× median
96137Top 10%

Psychological/neuropsychological testing, each additional 30 min

$145K

452 claims · 0.1%

Your Cost: $320.20/claim|Median: $92.96
3.4× median
90846Normal range

Family psychotherapy without patient, 50 min

$85K

867 claims · 0.1%

Your Cost: $97.70/claim|Median: $76.61
1.3× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$55K

732 claims · 0.0%

Your Cost: $75.26/claim|Median: $56.18
1.3× median
90853Normal range

Group psychotherapy

$55K

2K claims · 0.0%

Your Cost: $30.70/claim|Median: $25.02
1.2× median
99417Normal range

$27K

913 claims · 0.0%

Your Cost: $29.36/claim|Median: $34.90
0.8× median
96131Normal range

Psychological testing evaluation, each additional hour

$23K

123 claims · 0.0%

Your Cost: $184.72/claim|Median: $133.38
1.4× median
96136Top 25%

Psychological/neuropsychological testing, first 30 min

$20K

417 claims · 0.0%

Your Cost: $47.67/claim|Median: $30.49
1.6× median
96130Normal range

Psychological testing evaluation by professional, first hour

$14K

142 claims · 0.0%

Your Cost: $100.38/claim|Median: $79.21
1.3× median
90867Normal range

$3K

12 claims · 0.0%

Your Cost: $258.33/claim|Median: $253.60
1.0× median
H0031Normal range

Mental health assessment by non-physician

$3K

195 claims · 0.0%

Your Cost: $15.00/claim|Median: $96.18
0.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$1K

61 claims · 0.0%

Your Cost: $21.84/claim|Median: $9.56
2.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$702

637 claims · 0.0%

Your Cost: $1.10/claim|Median: $22.44
0.1× median
90785Normal range

$143

334 claims · 0.0%

Your Cost: $0.43/claim|Median: $6.43
0.1× median
99443Normal range

Telephone E/M by physician, 21-30 min

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.55

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 →