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SOUTH SHORE MENTAL HEALTH CENTER, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center)·QUINCY, MA·NPI: 1770528317Share

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 $84.6M 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

$84.6M

$84,608,707

Total Claims

779K

Beneficiaries

298K

2.6 claims/patient

Avg Cost/Claim

$109

Monthly Spending Trend

Yearly Spending

2018
$19.4M
-24%
2019
$14.7M
-21%
2020
$11.6M
-11%
2021
$10.4M
-9%
2022
$9.4M
+12%
2023
$10.5M
-18%
2024
$8.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 36 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 23% of total spending.

90834Normal range

Psychotherapy, 45 minutes

$19.6M

260K claims · 23.2%

Your Cost: $75.48/claim|Median: $63.65
1.2× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$15.8M

86K claims · 18.7%

Your Cost: $183.37/claim|Median: $84.12
2.2× median
S9485Normal range

Crisis intervention mental health services, per diem

$10.0M

19K claims · 11.8%

Your Cost: $532.20/claim|Median: $501.33
1.1× median
H2012Normal range

Behavioral health day treatment, per hour

$6.7M

90K claims · 7.9%

Your Cost: $74.48/claim|Median: $137.86
0.5× median
T1040Normal range

Medicaid certified CCBHC services

$6.6M

30K claims · 7.8%

Your Cost: $218.30/claim|Median: $130.29
1.7× median
T1027Top 10%

Family training and counseling, per 15 minutes

$6.4M

56K claims · 7.5%

Your Cost: $113.56/claim|Median: $53.00
2.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$5.2M

47K claims · 6.2%

Your Cost: $110.80/claim|Median: $96.24
1.2× median
99214Normal range

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

$2.3M

38K claims · 2.7%

Your Cost: $60.97/claim|Median: $53.41
1.1× median
T1024Top 25%

Evaluation & treatment, integrated specialty team

$2.2M

7,483 claims · 2.7%

Your Cost: $299.99/claim|Median: $119.08
2.5× median
90837Normal range

Psychotherapy, 60 minutes

$1.7M

21K claims · 2.0%

Your Cost: $82.29/claim|Median: $85.66
1.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.7M

8,088 claims · 2.0%

Your Cost: $205.75/claim|Median: $215.80
1.0× median
90887Normal range

Interpretation/explanation of results

$1.5M

24K claims · 1.8%

Your Cost: $61.69/claim|Median: $47.55
1.3× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$1.3M

25K claims · 1.6%

Your Cost: $53.45/claim|Median: $144.05
0.4× median
90882Normal range

Environmental intervention

$803K

15K claims · 0.9%

Your Cost: $53.32/claim|Median: $45.05
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$604K

5,480 claims · 0.7%

Your Cost: $110.27/claim|Median: $99.21
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$517K

15K claims · 0.6%

Your Cost: $35.20/claim|Median: $41.28
0.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$457K

5,520 claims · 0.5%

Your Cost: $82.79/claim|Median: $77.33
1.1× median
99213Normal range

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

$386K

9,716 claims · 0.5%

Your Cost: $39.70/claim|Median: $37.81
1.0× median
96153Top 5%

Health/behavior intervention, group

$231K

3,120 claims · 0.3%

Your Cost: $73.92/claim|Median: $6.67
11.1× median
H0046Normal range

Mental health services, not otherwise specified

$186K

2,661 claims · 0.2%

Your Cost: $69.80/claim|Median: $85.02
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$72K

497 claims · 0.1%

Your Cost: $145.80/claim|Median: $111.09
1.3× median
90853Normal range

Group psychotherapy

$53K

2,171 claims · 0.1%

Your Cost: $24.27/claim|Median: $25.02
1.0× median
H0031Normal range

Mental health assessment by non-physician

$41K

568 claims · 0.0%

Your Cost: $72.46/claim|Median: $96.18
0.8× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$28K

925 claims · 0.0%

Your Cost: $29.91/claim|Median: $15.54
1.9× median
96164Top 25%

$17K

967 claims · 0.0%

Your Cost: $18.09/claim|Median: $9.87
1.8× median
98967Normal range

$16K

832 claims · 0.0%

Your Cost: $19.65/claim|Median: $18.97
1.0× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$11K

113 claims · 0.0%

Your Cost: $92.95/claim|Median: $121.16
0.8× median
T2022Normal range

Case management, per month

$10K

70 claims · 0.0%

Your Cost: $136.90/claim|Median: $202.77
0.7× median
96118Normal range

$8K

25 claims · 0.0%

Your Cost: $338.17/claim|Median: $196.66
1.7× median
98966Normal range

$5K

504 claims · 0.0%

Your Cost: $10.14/claim|Median: $6.84
1.5× median
99443Normal range

Telephone E/M by physician, 21-30 min

$4K

1,919 claims · 0.0%

Your Cost: $1.98/claim|Median: $32.55
0.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

1,254 claims · 0.0%

Your Cost: $2.72/claim|Median: $22.44
0.1× median
96101Top 25%

$3K

12 claims · 0.0%

Your Cost: $260.76/claim|Median: $196.08
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$2K

276 claims · 0.0%

Your Cost: $8.39/claim|Median: $74.09
0.1× median
98968Normal range

$2K

58 claims · 0.0%

Your Cost: $29.40/claim|Median: $28.39
1.0× median
99204Top 25%

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

$2K

12 claims · 0.0%

Your Cost: $127.85/claim|Median: $84.03
1.5× median