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Clinical & Support Options INC

Community/Behavioral Health·Greenfield, MA·NPI: 1831265115Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $147.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$147.8M

$147,833,759

Total Claims

1.6M

Beneficiaries

578K

2.7 claims/patient

Avg Cost/Claim

$93

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

🔍 Analysis

Provider Overview

Clinical & Support Options INC is a Community/Behavioral Health provider based in Greenfield, MA. From the 2018–2024 period, this provider received $147.8M in Medicaid payments across 1.6M claims.

Why This Matters

This provider received $147.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,479 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 15% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$22.9M
+4%
2019
$23.7M
-9%
2020
$21.7M
-11%
2021
$19.2M
-7%
2022
$17.9M
+28%
2023
$22.9M
-15%
2024
$19.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 25% of total spending.

90834Normal range

Psychotherapy, 45 minutes

$37.4M

505K claims · 25.3%

Your Cost: $74.07/claim|Median: $63.65
1.2× median
T1040Normal range

Medicaid certified CCBHC services

$21.3M

98K claims · 14.4%

Your Cost: $218.13/claim|Median: $130.29
1.7× median
S9485Normal range

Crisis intervention mental health services, per diem

$19.7M

35K claims · 13.3%

Your Cost: $558.92/claim|Median: $501.33
1.1× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$18.6M

154K claims · 12.6%

Your Cost: $120.99/claim|Median: $84.12
1.4× median
T1027Top 25%

Family training and counseling, per 15 minutes

$7.1M

83K claims · 4.8%

Your Cost: $84.88/claim|Median: $53.00
1.6× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$6.7M

131K claims · 4.5%

Your Cost: $51.25/claim|Median: $53.97
0.9× median
H2011Normal range

Crisis intervention service, per 15 minutes

$6.0M

39K claims · 4.1%

Your Cost: $154.07/claim|Median: $215.80
0.7× median
H2015Normal range

Comprehensive community support services, per 15 min

$4.5M

67K claims · 3.0%

Your Cost: $67.28/claim|Median: $96.24
0.7× median
99214Normal range

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

$4.3M

77K claims · 2.9%

Your Cost: $56.42/claim|Median: $53.41
1.1× median
H2014Top 25%

Skills training & development, per 15 min

$3.4M

19K claims · 2.3%

Your Cost: $180.61/claim|Median: $83.88
2.1× median
H2016Normal range

Comprehensive community support services, per 15 min

$2.5M

122K claims · 1.7%

Your Cost: $20.54/claim|Median: $321.53
0.1× median
90791Normal range

Psychiatric diagnostic evaluation

$2.4M

21K claims · 1.6%

Your Cost: $114.43/claim|Median: $99.21
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$2.4M

25K claims · 1.6%

Your Cost: $95.36/claim|Median: $85.66
1.1× median
90847Normal range

Family psychotherapy with patient, 50 min

$1.4M

18K claims · 1.0%

Your Cost: $81.48/claim|Median: $77.33
1.1× median
90882Normal range

Environmental intervention

$1.4M

31K claims · 1.0%

Your Cost: $46.46/claim|Median: $45.05
1.0× median
90887Normal range

Interpretation/explanation of results

$1.4M

28K claims · 0.9%

Your Cost: $48.26/claim|Median: $47.55
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$1.1M

29K claims · 0.7%

Your Cost: $37.86/claim|Median: $41.28
0.9× median
99213Normal range

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

$1.0M

23K claims · 0.7%

Your Cost: $44.12/claim|Median: $37.81
1.2× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$688K

12K claims · 0.5%

Your Cost: $57.95/claim|Median: $266.41
0.2× median
T1017Normal range

Targeted case management, per 15 min

$672K

7K claims · 0.5%

Your Cost: $100.16/claim|Median: $69.56
1.4× median
H0038Normal range

Self-help/peer services, per 15 minutes

$672K

9K claims · 0.5%

Your Cost: $71.38/claim|Median: $55.04
1.3× median
90853Normal range

Group psychotherapy

$585K

23K claims · 0.4%

Your Cost: $25.88/claim|Median: $25.02
1.0× median
99404Normal range

$467K

4K claims · 0.3%

Your Cost: $129.35/claim|Median: $104.92
1.2× median
H0046Normal range

Mental health services, not otherwise specified

$354K

9K claims · 0.2%

Your Cost: $39.75/claim|Median: $85.02
0.5× median
H0015Normal range

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

$353K

5K claims · 0.2%

Your Cost: $75.92/claim|Median: $129.75
0.6× median
H0032Top 25%

Mental health service plan development

$297K

2K claims · 0.2%

Your Cost: $138.56/claim|Median: $80.64
1.7× median
T1012Top 5%

Alcohol/drug services, skills development

$237K

742 claims · 0.2%

Your Cost: $319.98/claim|Median: $40.78
7.8× median
99215Normal range

Office/outpatient visit, high complexity

$229K

3K claims · 0.2%

Your Cost: $82.29/claim|Median: $74.09
1.1× median
H2012Normal range

Behavioral health day treatment, per hour

$196K

2K claims · 0.1%

Your Cost: $104.78/claim|Median: $137.86
0.8× median
H0031Normal range

Mental health assessment by non-physician

$186K

2K claims · 0.1%

Your Cost: $88.15/claim|Median: $96.18
0.9× median

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