Is WAYSIDE YOUTH AND FAMILY SUPPORT NETWORK flagged for Medicaid fraud?

WAYSIDE YOUTH AND FAMILY SUPPORT NETWORK (NPI: 1851484505) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does WAYSIDE YOUTH AND FAMILY SUPPORT NETWORK bill Medicaid?

WAYSIDE YOUTH AND FAMILY SUPPORT NETWORK received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Counselor, Mental Health provider. Located in FRAMINGHAM, MA.

What is NPI 1851484505?

NPI 1851484505 is the National Provider Identifier for WAYSIDE YOUTH AND FAMILY SUPPORT NETWORK. They are a Counselor, Mental Health provider based in FRAMINGHAM, MA. This NPI is registered with the CMS NPI Registry.

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WAYSIDE YOUTH AND FAMILY SUPPORT NETWORK

Counselor, Mental Health·FRAMINGHAM, MA·NPI: 1851484505Share

Compared to Counselor, Mental Health Peers

Total spending distribution among 27 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.6M is at the 75th percentile among 27 Counselor, Mental Health providers.

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

Total Paid

$38.6M

$38,590,899

Total Claims

555K

Beneficiaries

67K

8.3 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018

$7.7M

-18%

2019

$6.3M

-8%

2020

$5.8M

-13%

2021

$5.0M

-8%

2022

$4.6M

-2%

2023

$4.5M

+0%

2024

$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 50% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0023Behavioral health outreach service, per 15 minutesSee all providers →

$19.2M

361K claims

$53.26

$53.97

1.0×

Normal range

H0023Normal range

Behavioral health outreach service, per 15 minutes

$19.2M

361K claims · 49.9%

Your Cost: $53.26/claim|Median: $53.97

1.0× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$11.9M

92K claims

$129.34

$84.12

1.5×

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

$11.9M

92K claims · 30.7%

Your Cost: $129.34/claim|Median: $84.12

1.5× median

90834Psychotherapy, 45 minutesSee all providers →

$2.8M

33K claims

$84.79

$63.65

1.3×

Top 25%

90834Top 25%

Psychotherapy, 45 minutes

$2.8M

33K claims · 7.1%

Your Cost: $84.79/claim|Median: $63.65

1.3× median

T1027Family training and counseling, per 15 minutesSee all providers →

$1.8M

24K claims

$74.98

$53.00

1.4×

Normal range

T1027Normal range

Family training and counseling, per 15 minutes

$1.8M

24K claims · 4.7%

Your Cost: $74.98/claim|Median: $53.00

1.4× median

90887Interpretation/explanation of resultsSee all providers →

$562K

11K claims

$50.01

$47.55

1.1×

Normal range

90887Normal range

Interpretation/explanation of results

$562K

11K claims · 1.5%

Your Cost: $50.01/claim|Median: $47.55

1.1× median

T1017Targeted case management, per 15 minSee all providers →

$438K

4,833 claims

$90.60

$69.56

1.3×

Normal range

T1017Normal range

Targeted case management, per 15 min

$438K

4,833 claims · 1.1%

Your Cost: $90.60/claim|Median: $69.56

1.3× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$348K

5,554 claims

$62.68

$55.04

1.1×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$348K

5,554 claims · 0.9%

Your Cost: $62.68/claim|Median: $55.04

1.1× median

H0046Mental health services, not otherwise specifiedSee all providers →

$286K

6,634 claims

$43.13

$85.02

0.5×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$286K

6,634 claims · 0.7%

Your Cost: $43.13/claim|Median: $85.02

0.5× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$249K

2,756 claims

$90.25

$53.41

1.7×

Top 25%

99214Top 25%

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

$249K

2,756 claims · 0.6%

Your Cost: $90.25/claim|Median: $53.41

1.7× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$236K

4,264 claims

$55.42

$37.81

1.5×

Top 25%

99213Top 25%

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

$236K

4,264 claims · 0.6%

Your Cost: $55.42/claim|Median: $37.81

1.5× median

90882Environmental interventionSee all providers →

$235K

4,147 claims

$56.59

$45.05

1.3×

Normal range

90882Normal range

Environmental intervention

$235K

4,147 claims · 0.6%

Your Cost: $56.59/claim|Median: $45.05

1.3× median

90847Family psychotherapy with patient, 50 minSee all providers →

$225K

2,761 claims

$81.60

$77.33

1.1×

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

$225K

2,761 claims · 0.6%

Your Cost: $81.60/claim|Median: $77.33

1.1× median

90791Psychiatric diagnostic evaluationSee all providers →

$147K

657 claims

$223.79

$99.21

2.3×

Top 5%

90791Top 5%

Psychiatric diagnostic evaluation

$147K

657 claims · 0.4%

Your Cost: $223.79/claim|Median: $99.21

2.3× median

90837Psychotherapy, 60 minutesSee all providers →

$88K

992 claims

$88.43

$85.66

1.0×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$88K

992 claims · 0.2%

Your Cost: $88.43/claim|Median: $85.66

1.0× median

99404 See all providers →

$48K

340 claims

$142.40

$104.92

1.4×

Normal range

99404Normal range

$48K

340 claims · 0.1%

Your Cost: $142.40/claim|Median: $104.92

1.4× median

99215Office/outpatient visit, high complexitySee all providers →

$28K

263 claims

$106.70

$74.09

1.4×

Normal range

99215Normal range

Office/outpatient visit, high complexity

$28K

263 claims · 0.1%

Your Cost: $106.70/claim|Median: $74.09

1.4× median

90832Psychotherapy, 30 minutesSee all providers →

$19K

456 claims

$41.83

$41.28

1.0×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$19K

456 claims · 0.0%

Your Cost: $41.83/claim|Median: $41.28

1.0× median

99212Office/outpatient visit, low complexitySee all providers →

$16K

510 claims

$30.45

$25.06

1.2×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$16K

510 claims · 0.0%

Your Cost: $30.45/claim|Median: $25.06

1.2× median

90853Group psychotherapySee all providers →

$10K

354 claims

$29.01

$25.02

1.2×

Normal range

90853Normal range

Group psychotherapy

$10K

354 claims · 0.0%

Your Cost: $29.01/claim|Median: $25.02

1.2× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$1K

13 claims

$81.71

$108.91

0.8×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$1K

13 claims · 0.0%

Your Cost: $81.71/claim|Median: $108.91

0.8× median

H0031Mental health assessment by non-physicianSee all providers →

$390

26 claims

$15.00

$96.18

0.2×

Normal range

H0031Normal range

Mental health assessment by non-physician

$390

26 claims · 0.0%

Your Cost: $15.00/claim|Median: $96.18

0.2× median

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$1.10B

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