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

⚖️ Compare🖨️ Print Report

RIVER VALLEY COUNSELING CENTER, INC

Clinic/Center, Mental Health (Including Community Mental Health Center)·HOLYOKE, MA·NPI: 1851444616Share

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 $64.9M is at the 75th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$64.9M

$64,884,077

Total Claims

669K

Beneficiaries

317K

2.1 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018
$4.4M
+23%
2019
$5.4M
+52%
2020
$8.2M
+27%
2021
$10.4M
+15%
2022
$12.0M
+8%
2023
$13.0M
-11%
2024
$11.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 50% of total spending.

90834Top 25%

Psychotherapy, 45 minutes

$32.5M

381K claims · 50.1%

Your Cost: $85.38/claim|Median: $63.65
1.3× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$15.2M

80K claims · 23.5%

Your Cost: $190.87/claim|Median: $84.12
2.3× median
90837Top 25%

Psychotherapy, 60 minutes

$5.5M

52K claims · 8.5%

Your Cost: $105.98/claim|Median: $85.66
1.2× median
T1027Top 5%

Family training and counseling, per 15 minutes

$2.5M

18K claims · 3.8%

Your Cost: $135.45/claim|Median: $53.00
2.6× median
99214Top 25%

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

$2.2M

29K claims · 3.4%

Your Cost: $76.88/claim|Median: $53.41
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$1.4M

12K claims · 2.2%

Your Cost: $123.56/claim|Median: $99.21
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$1.2M

27K claims · 1.9%

Your Cost: $46.50/claim|Median: $41.28
1.1× median
99213Top 25%

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

$1.1M

20K claims · 1.6%

Your Cost: $53.87/claim|Median: $37.81
1.4× median
90887Top 25%

Interpretation/explanation of results

$1.0M

14K claims · 1.6%

Your Cost: $74.18/claim|Median: $47.55
1.6× median
H0046Normal range

Mental health services, not otherwise specified

$818K

19K claims · 1.3%

Your Cost: $42.45/claim|Median: $85.02
0.5× median
90882Top 25%

Environmental intervention

$407K

6,437 claims · 0.6%

Your Cost: $63.28/claim|Median: $45.05
1.4× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$286K

2,061 claims · 0.4%

Your Cost: $138.54/claim|Median: $121.16
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$256K

2,585 claims · 0.4%

Your Cost: $98.88/claim|Median: $108.91
0.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$185K

2,012 claims · 0.3%

Your Cost: $92.01/claim|Median: $77.33
1.2× median
H2012Normal range

Behavioral health day treatment, per hour

$170K

2,878 claims · 0.3%

Your Cost: $59.16/claim|Median: $137.86
0.4× median
90833Normal range

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

$18K

582 claims · 0.0%

Your Cost: $30.76/claim|Median: $38.83
0.8× median
90853Normal range

Group psychotherapy

$14K

479 claims · 0.0%

Your Cost: $28.50/claim|Median: $25.02
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$8K

553 claims · 0.0%

Your Cost: $15.13/claim|Median: $12.93
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$7K

212 claims · 0.0%

Your Cost: $31.82/claim|Median: $25.06
1.3× median
H0031Normal range

Mental health assessment by non-physician

$3K

191 claims · 0.0%

Your Cost: $15.00/claim|Median: $96.18
0.2× median
99404Normal range

$2K

12 claims · 0.0%

Your Cost: $155.29/claim|Median: $104.92
1.5× median
90846Normal range

Family psychotherapy without patient, 50 min

$1K

13 claims · 0.0%

Your Cost: $93.46/claim|Median: $76.61
1.2× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$962

28 claims · 0.0%

Your Cost: $34.35/claim|Median: $27.38
1.3× median

Other Top Providers in Massachusetts

View all →

Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

← All providersAll providers in Massachusetts →How we detect fraud →