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BOSTON EMERGENCY SERVICES TEAM (BUPA) BOSTON

Community/Behavioral Health·BOSTON, MA·NPI: 1225200314Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.3M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$59.3M

$59,304,452

Total Claims

501K

Beneficiaries

153K

3.3 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2018
$20.7M
-8%
2019
$19.1M
-71%
2020
$5.5M
+22%
2021
$6.7M
-7%
2022
$6.2M
-89%
2023
$679K
-36%
2024
$435K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 35 distinct procedure codes. The top code (S9485 (Crisis intervention mental health services, per diem)) accounts for 29% of total spending.

S9485Normal range

Crisis intervention mental health services, per diem

$16.9M

32K claims · 28.6%

Your Cost: $522.86/claim|Median: $501.33
1.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$11.4M

78K claims · 19.3%

Your Cost: $146.36/claim|Median: $215.80
0.7× median
90834Normal range

Psychotherapy, 45 minutes

$5.8M

71K claims · 9.7%

Your Cost: $81.18/claim|Median: $63.65
1.3× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$5.1M

107K claims · 8.6%

Your Cost: $47.42/claim|Median: $53.97
0.9× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$4.9M

41K claims · 8.3%

Your Cost: $120.12/claim|Median: $84.12
1.4× median
T1027Top 25%

Family training and counseling, per 15 minutes

$4.7M

44K claims · 8.0%

Your Cost: $107.23/claim|Median: $53.00
2.0× median
99214Top 25%

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

$2.0M

23K claims · 3.4%

Your Cost: $87.61/claim|Median: $53.41
1.6× median
H0038Normal range

Self-help/peer services, per 15 minutes

$1.3M

14K claims · 2.1%

Your Cost: $89.54/claim|Median: $55.04
1.6× median
H2016Normal range

Comprehensive community support services, per 15 min

$1.1M

15K claims · 1.9%

Your Cost: $75.28/claim|Median: $321.53
0.2× median
T1017Normal range

Targeted case management, per 15 min

$914K

8,014 claims · 1.5%

Your Cost: $114.03/claim|Median: $69.56
1.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$898K

9,033 claims · 1.5%

Your Cost: $99.36/claim|Median: $96.24
1.0× median
99213Top 25%

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

$536K

8,989 claims · 0.9%

Your Cost: $59.60/claim|Median: $37.81
1.6× median
H0032Top 25%

Mental health service plan development

$427K

2,349 claims · 0.7%

Your Cost: $181.92/claim|Median: $80.64
2.3× median
90791Normal range

Psychiatric diagnostic evaluation

$420K

3,582 claims · 0.7%

Your Cost: $117.39/claim|Median: $99.21
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$398K

4,975 claims · 0.7%

Your Cost: $80.08/claim|Median: $85.66
0.9× median
90882Normal range

Environmental intervention

$345K

8,113 claims · 0.6%

Your Cost: $42.58/claim|Median: $45.05
0.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$280K

3,423 claims · 0.5%

Your Cost: $81.75/claim|Median: $77.33
1.1× median
90887Normal range

Interpretation/explanation of results

$275K

7,346 claims · 0.5%

Your Cost: $37.44/claim|Median: $47.55
0.8× median
H0031Normal range

Mental health assessment by non-physician

$248K

1,872 claims · 0.4%

Your Cost: $132.46/claim|Median: $96.18
1.4× median
H2014Normal range

Skills training & development, per 15 min

$244K

2,056 claims · 0.4%

Your Cost: $118.59/claim|Median: $83.88
1.4× median
99404Top 10%

$147K

857 claims · 0.2%

Your Cost: $172.09/claim|Median: $104.92
1.6× median
H0046Normal range

Mental health services, not otherwise specified

$134K

3,285 claims · 0.2%

Your Cost: $40.76/claim|Median: $85.02
0.5× median
H2012Normal range

Behavioral health day treatment, per hour

$123K

914 claims · 0.2%

Your Cost: $134.47/claim|Median: $137.86
1.0× median
H0015Normal range

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

$121K

975 claims · 0.2%

Your Cost: $123.90/claim|Median: $129.75
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$107K

1,075 claims · 0.2%

Your Cost: $99.09/claim|Median: $108.91
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$100K

2,803 claims · 0.2%

Your Cost: $35.54/claim|Median: $41.28
0.9× median
90853Normal range

Group psychotherapy

$85K

3,003 claims · 0.1%

Your Cost: $28.39/claim|Median: $25.02
1.1× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$67K

475 claims · 0.1%

Your Cost: $140.31/claim|Median: $45.95
3.1× median
99215Top 25%

Office/outpatient visit, high complexity

$30K

239 claims · 0.1%

Your Cost: $126.79/claim|Median: $74.09
1.7× median
99204Top 25%

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

$17K

146 claims · 0.0%

Your Cost: $118.66/claim|Median: $84.03
1.4× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$13K

81 claims · 0.0%

Your Cost: $158.98/claim|Median: $111.09
1.4× median
90833Normal range

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

$12K

369 claims · 0.0%

Your Cost: $31.51/claim|Median: $38.83
0.8× median
99212Top 25%

Office/outpatient visit, low complexity

$11K

288 claims · 0.0%

Your Cost: $37.88/claim|Median: $25.06
1.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$3K

175 claims · 0.0%

Your Cost: $15.71/claim|Median: $12.93
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

260 claims · 0.0%

Your Cost: $8.49/claim|Median: $9.56
0.9× median

Other Top Providers in Massachusetts

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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 Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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