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

⚖️ Compare🖨️ Print Report

GAVIN FOUNDATION

Clinic/Center·SOUTH BOSTON, MA·NPI: 1396079414Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $50.8M is at the 50th percentile among 13 Clinic/Center providers.

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

Total Paid

$50.8M

$50,796,512

Total Claims

238K

Beneficiaries

36K

6.7 claims/patient

Avg Cost/Claim

$213

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+112%
2019
$5.1M
+12%
2020
$5.7M
+18%
2021
$6.7M
+18%
2022
$7.9M
+35%
2023
$10.7M
+15%
2024
$12.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 40% of total spending.

H0019Normal range

Behavioral health; residential, per diem

$20.1M

134K claims · 39.5%

Your Cost: $149.35/claim|Median: $357.16
0.4× median
H0011Top 25%

Alcohol and/or drug services, acute detoxification, per diem

$13.6M

31K claims · 26.7%

Your Cost: $443.64/claim|Median: $317.54
1.4× median
H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$12.3M

35K claims · 24.2%

Your Cost: $349.97/claim|Median: $369.55
0.9× median
H0015Normal range

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

$1.7M

17K claims · 3.4%

Your Cost: $99.48/claim|Median: $129.75
0.8× median
H2016Normal range

Comprehensive community support services, per 15 min

$1.7M

4,475 claims · 3.4%

Your Cost: $386.60/claim|Median: $321.53
1.2× median
90834Top 25%

Psychotherapy, 45 minutes

$844K

9,488 claims · 1.7%

Your Cost: $88.95/claim|Median: $63.65
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$226K

1,842 claims · 0.4%

Your Cost: $122.91/claim|Median: $99.21
1.2× median
99214Top 25%

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

$109K

1,236 claims · 0.2%

Your Cost: $88.32/claim|Median: $53.41
1.7× median
99215Top 25%

Office/outpatient visit, high complexity

$81K

685 claims · 0.2%

Your Cost: $118.28/claim|Median: $74.09
1.6× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$43K

254 claims · 0.1%

Your Cost: $169.27/claim|Median: $111.09
1.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$39K

1,020 claims · 0.1%

Your Cost: $38.37/claim|Median: $74.63
0.5× median
90853Normal range

Group psychotherapy

$34K

1,116 claims · 0.1%

Your Cost: $30.60/claim|Median: $25.02
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$21K

427 claims · 0.0%

Your Cost: $49.90/claim|Median: $41.28
1.2× median
99404Top 25%

$2K

12 claims · 0.0%

Your Cost: $163.20/claim|Median: $104.92
1.6× median
90882Normal range

Environmental intervention

$1K

48 claims · 0.0%

Your Cost: $22.32/claim|Median: $45.05
0.5× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$407

12 claims · 0.0%

Your Cost: $33.89/claim|Median: $25.93
1.3× 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

Children's Hospital Corporation

Boston, MA

$330.8M

County of Santa Cruz

Santa Cruz, CA

$276.3M

Northern Valley Indian Health INC

Willows, CA

$217.1M

Upmc Presbyterian Shadyside

Pittsburgh, PA

$125.5M

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