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

NORTH SUFFOLK COMMUNITY SERVICES INC.

Clinic/Center·EAST BOSTON, MA·NPI: 1740209881Share

Compared to Clinic/Center Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $50.0M is at the 50th percentile among 13 Clinic/Center providers.

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

Total Paid

$50.0M

$50,044,524

Total Claims

552K

Beneficiaries

182K

3.0 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$5.6M
+14%
2019
$6.3M
-12%
2020
$5.6M
-2%
2021
$5.5M
+20%
2022
$6.6M
+59%
2023
$10.4M
-3%
2024
$10.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 34 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 16% of total spending.

H0023Normal range

Behavioral health outreach service, per 15 minutes

$8.2M

152K claims · 16.4%

Your Cost: $54.02/claim|Median: $53.97
1.0× median
T1040Normal range

Medicaid certified CCBHC services

$8.2M

37K claims · 16.4%

Your Cost: $222.56/claim|Median: $130.29
1.7× median
H0019Normal range

Behavioral health; residential, per diem

$7.0M

7,043 claims · 13.9%

Your Cost: $988.82/claim|Median: $357.16
2.8× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$5.8M

51K claims · 11.7%

Your Cost: $114.46/claim|Median: $84.12
1.4× median
H2016Normal range

Comprehensive community support services, per 15 min

$3.6M

13K claims · 7.1%

Your Cost: $265.04/claim|Median: $321.53
0.8× median
99214Normal range

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

$3.6M

65K claims · 7.1%

Your Cost: $54.70/claim|Median: $53.41
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$3.5M

57K claims · 7.0%

Your Cost: $60.89/claim|Median: $63.65
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$3.1M

53K claims · 6.2%

Your Cost: $58.42/claim|Median: $96.24
0.6× median
H2012Normal range

Behavioral health day treatment, per hour

$1.6M

29K claims · 3.1%

Your Cost: $53.49/claim|Median: $137.86
0.4× median
S9485Top 25%

Crisis intervention mental health services, per diem

$969K

996 claims · 1.9%

Your Cost: $972.70/claim|Median: $501.33
1.9× median
T1027Top 25%

Family training and counseling, per 15 minutes

$833K

10K claims · 1.7%

Your Cost: $82.83/claim|Median: $53.00
1.6× median
H0015Normal range

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

$623K

7,961 claims · 1.2%

Your Cost: $78.26/claim|Median: $129.75
0.6× median
T1017Normal range

Targeted case management, per 15 min

$614K

5,041 claims · 1.2%

Your Cost: $121.81/claim|Median: $69.56
1.8× median
H0038Normal range

Self-help/peer services, per 15 minutes

$530K

5,835 claims · 1.1%

Your Cost: $90.82/claim|Median: $55.04
1.7× median
90837Normal range

Psychotherapy, 60 minutes

$522K

8,323 claims · 1.0%

Your Cost: $62.68/claim|Median: $85.66
0.7× median
90832Normal range

Psychotherapy, 30 minutes

$492K

16K claims · 1.0%

Your Cost: $30.66/claim|Median: $41.28
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$347K

3,720 claims · 0.7%

Your Cost: $93.33/claim|Median: $99.21
0.9× median
H2011Normal range

Crisis intervention service, per 15 minutes

$178K

2,790 claims · 0.4%

Your Cost: $63.66/claim|Median: $215.80
0.3× median
90853Normal range

Group psychotherapy

$134K

14K claims · 0.3%

Your Cost: $9.28/claim|Median: $25.02
0.4× median
99213Normal range

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

$91K

1,949 claims · 0.2%

Your Cost: $46.57/claim|Median: $37.81
1.2× median
90882Normal range

Environmental intervention

$81K

1,841 claims · 0.2%

Your Cost: $43.85/claim|Median: $45.05
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$64K

1,164 claims · 0.1%

Your Cost: $55.33/claim|Median: $74.09
0.7× median
99404Top 25%

$43K

255 claims · 0.1%

Your Cost: $167.43/claim|Median: $104.92
1.6× median
H0046Normal range

Mental health services, not otherwise specified

$22K

579 claims · 0.0%

Your Cost: $38.80/claim|Median: $85.02
0.5× median
T1024Top 25%

Evaluation & treatment, integrated specialty team

$17K

59 claims · 0.0%

Your Cost: $289.01/claim|Median: $119.08
2.4× median
99443Normal range

Telephone E/M by physician, 21-30 min

$15K

5,578 claims · 0.0%

Your Cost: $2.78/claim|Median: $32.55
0.1× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$13K

248 claims · 0.0%

Your Cost: $51.86/claim|Median: $74.63
0.7× median
90887Normal range

Interpretation/explanation of results

$9K

214 claims · 0.0%

Your Cost: $42.04/claim|Median: $47.55
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$8K

263 claims · 0.0%

Your Cost: $29.36/claim|Median: $108.91
0.3× median
99212Top 25%

Office/outpatient visit, low complexity

$5K

143 claims · 0.0%

Your Cost: $37.81/claim|Median: $25.06
1.5× median
90847Normal range

Family psychotherapy with patient, 50 min

$5K

60 claims · 0.0%

Your Cost: $84.00/claim|Median: $77.33
1.1× median
90833Normal range

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

$2K

524 claims · 0.0%

Your Cost: $4.73/claim|Median: $38.83
0.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$712

277 claims · 0.0%

Your Cost: $2.57/claim|Median: $22.44
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$417

48 claims · 0.0%

Your Cost: $8.68/claim|Median: $9.56
0.9× median