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Douglas A. Thom Clinic, Inc.

Clinic/Center, Developmental Disabilities·Lowell, MA·NPI: 1396771820Share

Compared to Clinic/Center, Developmental Disabilities Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $132.5M is at the 25th percentile among 8 Clinic/Center, Developmental Disabilities providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$132.5M

$132,522,598

Total Claims

1.1M

Beneficiaries

338K

3.3 claims/patient

Avg Cost/Claim

$120

#864 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Douglas A. Thom Clinic, Inc. is a Clinic/Center, Developmental Disabilities provider based in Lowell, MA. From the 2018–2024 period, this provider received $132.5M in Medicaid payments across 1.1M claims.

Why This Matters

This provider received $132.5M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,565 Medicaid beneficiaries for a full year at average per-enrollee costs.

34% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$27.2M
-14%
2019
$23.5M
-30%
2020
$16.5M
-11%
2021
$14.7M
+5%
2022
$15.4M
+11%
2023
$17.1M
+6%
2024
$18.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 66% of total spending.

H2015Normal range

Comprehensive community support services, per 15 min

$87.9M

809K claims · 66.3%

Your Cost: $108.64/claim|Median: $96.24
1.1× median
T1024Top 25%

Evaluation & treatment, integrated specialty team

$27.8M

116K claims · 20.9%

Your Cost: $239.63/claim|Median: $119.08
2.0× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$7.4M

49K claims · 5.6%

Your Cost: $150.85/claim|Median: $84.12
1.8× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$2.1M

19K claims · 1.6%

Your Cost: $111.44/claim|Median: $121.16
0.9× median
H0032Top 25%

Mental health service plan development

$1.8M

10K claims · 1.4%

Your Cost: $189.33/claim|Median: $80.64
2.4× median
H0031Normal range

Mental health assessment by non-physician

$1.6M

11K claims · 1.2%

Your Cost: $153.11/claim|Median: $96.18
1.6× median
96153Top 25%

Health/behavior intervention, group

$1.6M

29K claims · 1.2%

Your Cost: $54.60/claim|Median: $6.67
8.2× median
T1027Normal range

Family training and counseling, per 15 minutes

$734K

15K claims · 0.6%

Your Cost: $48.09/claim|Median: $53.00
0.9× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$703K

19K claims · 0.5%

Your Cost: $36.76/claim|Median: $15.54
2.4× median
96164Top 25%

$400K

22K claims · 0.3%

Your Cost: $18.41/claim|Median: $9.87
1.9× median
H2012Normal range

Behavioral health day treatment, per hour

$317K

2K claims · 0.2%

Your Cost: $148.50/claim|Median: $137.86
1.1× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$115K

951 claims · 0.1%

Your Cost: $120.80/claim|Median: $106.70
1.1× median
97156Normal range

$34K

404 claims · 0.0%

Your Cost: $83.06/claim|Median: $88.65
0.9× median