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ADVOCATES, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center)·MARLBOROUGH, MA·NPI: 1437451382Share

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 $48.8M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

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

Total Paid

$48.8M

$48,823,264

Total Claims

389K

Beneficiaries

179K

2.2 claims/patient

Avg Cost/Claim

$126

Monthly Spending Trend

Yearly Spending

2018
$6.8M
-9%
2019
$6.2M
-17%
2020
$5.2M
+16%
2021
$6.0M
+10%
2022
$6.6M
+13%
2023
$7.5M
+42%
2024
$10.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 31 distinct procedure codes. The top code (S9485 (Crisis intervention mental health services, per diem)) accounts for 24% of total spending.

S9485Normal range

Crisis intervention mental health services, per diem

$11.7M

21K claims · 23.9%

Your Cost: $555.19/claim|Median: $501.33
1.1× median
T1040Normal range

Medicaid certified CCBHC services

$9.4M

44K claims · 19.3%

Your Cost: $214.56/claim|Median: $130.29
1.6× median
90834Normal range

Psychotherapy, 45 minutes

$8.0M

110K claims · 16.4%

Your Cost: $72.84/claim|Median: $63.65
1.1× median
H0019Normal range

Behavioral health; residential, per diem

$4.8M

34K claims · 9.9%

Your Cost: $141.37/claim|Median: $357.16
0.4× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$3.8M

22K claims · 7.8%

Your Cost: $177.80/claim|Median: $84.12
2.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$3.1M

18K claims · 6.3%

Your Cost: $173.98/claim|Median: $215.80
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$2.5M

29K claims · 5.1%

Your Cost: $84.74/claim|Median: $85.66
1.0× median
99214Normal range

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

$1.7M

30K claims · 3.4%

Your Cost: $54.57/claim|Median: $53.41
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$778K

22K claims · 1.6%

Your Cost: $35.58/claim|Median: $41.28
0.9× median
H2016Normal range

Comprehensive community support services, per 15 min

$537K

26K claims · 1.1%

Your Cost: $21.02/claim|Median: $321.53
0.1× median
T1027Top 10%

Family training and counseling, per 15 minutes

$536K

4,669 claims · 1.1%

Your Cost: $114.73/claim|Median: $53.00
2.2× median
90791Normal range

Psychiatric diagnostic evaluation

$520K

5,122 claims · 1.1%

Your Cost: $101.52/claim|Median: $99.21
1.0× median
S5140Top 25%

Foster care, adult; per diem

$330K

490 claims · 0.7%

Your Cost: $673.35/claim|Median: $252.32
2.7× median
99213Normal range

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

$215K

5,023 claims · 0.4%

Your Cost: $42.86/claim|Median: $37.81
1.1× median
90887Normal range

Interpretation/explanation of results

$161K

3,273 claims · 0.3%

Your Cost: $49.26/claim|Median: $47.55
1.0× median
90853Normal range

Group psychotherapy

$153K

6,476 claims · 0.3%

Your Cost: $23.64/claim|Median: $25.02
0.9× median
H2014Top 25%

Skills training & development, per 15 min

$124K

566 claims · 0.3%

Your Cost: $219.71/claim|Median: $83.88
2.6× median
90882Normal range

Environmental intervention

$119K

2,538 claims · 0.2%

Your Cost: $47.05/claim|Median: $45.05
1.0× median
90847Normal range

Family psychotherapy with patient, 50 min

$108K

1,288 claims · 0.2%

Your Cost: $83.48/claim|Median: $77.33
1.1× median
H0046Normal range

Mental health services, not otherwise specified

$99K

2,313 claims · 0.2%

Your Cost: $42.68/claim|Median: $85.02
0.5× median
H0032Top 10%

Mental health service plan development

$71K

321 claims · 0.1%

Your Cost: $220.63/claim|Median: $80.64
2.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$27K

657 claims · 0.1%

Your Cost: $41.83/claim|Median: $96.24
0.4× median
H0031Top 25%

Mental health assessment by non-physician

$23K

150 claims · 0.0%

Your Cost: $155.16/claim|Median: $96.18
1.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$10K

132 claims · 0.0%

Your Cost: $79.38/claim|Median: $111.09
0.7× median
99204Normal range

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

$6K

66 claims · 0.0%

Your Cost: $91.85/claim|Median: $84.03
1.1× median
H2012Normal range

Behavioral health day treatment, per hour

$6K

43 claims · 0.0%

Your Cost: $139.85/claim|Median: $137.86
1.0× median
99404Normal range

$5K

38 claims · 0.0%

Your Cost: $144.39/claim|Median: $104.92
1.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$2K

40 claims · 0.0%

Your Cost: $38.42/claim|Median: $108.91
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$553

22 claims · 0.0%

Your Cost: $25.16/claim|Median: $25.06
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$46

13 claims · 0.0%

Your Cost: $3.57/claim|Median: $9.56
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09