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ELIOT COMMUNITY HUMAN SERVICES

Clinic/Center, Mental Health (Including Community Mental Health Center)·LEXINGTON, MA·NPI: 1932271632Share

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 $103.8M 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

$103.8M

$103,846,798

Total Claims

2.0M

Beneficiaries

318K

6.2 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$10.9M
-9%
2019
$9.9M
+9%
2020
$10.8M
+19%
2021
$12.8M
+0%
2022
$12.9M
+76%
2023
$22.7M
+6%
2024
$23.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 45 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 17% of total spending.

T1040Normal range

Medicaid certified CCBHC services

$18.0M

77K claims · 17.4%

Your Cost: $233.23/claim|Median: $130.29
1.8× median
H2016Normal range

Comprehensive community support services, per 15 min

$16.1M

924K claims · 15.5%

Your Cost: $17.40/claim|Median: $321.53
0.1× median
S9485Normal range

Crisis intervention mental health services, per diem

$13.9M

26K claims · 13.4%

Your Cost: $541.70/claim|Median: $501.33
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$13.4M

176K claims · 12.9%

Your Cost: $76.08/claim|Median: $63.65
1.2× median
H0040Normal range

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

$13.1M

316K claims · 12.6%

Your Cost: $41.33/claim|Median: $266.41
0.2× median
H0023Normal range

Behavioral health outreach service, per 15 minutes

$6.5M

122K claims · 6.3%

Your Cost: $53.61/claim|Median: $53.97
1.0× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$5.5M

45K claims · 5.3%

Your Cost: $123.22/claim|Median: $84.12
1.5× median
99214Normal range

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

$4.1M

60K claims · 3.9%

Your Cost: $68.07/claim|Median: $53.41
1.3× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.9M

28K claims · 2.8%

Your Cost: $104.16/claim|Median: $96.24
1.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.8M

11K claims · 1.8%

Your Cost: $169.78/claim|Median: $215.80
0.8× median
T1027Top 25%

Family training and counseling, per 15 minutes

$1.3M

15K claims · 1.3%

Your Cost: $87.38/claim|Median: $53.00
1.6× median
H2012Normal range

Behavioral health day treatment, per hour

$1.1M

23K claims · 1.1%

Your Cost: $48.31/claim|Median: $137.86
0.4× median
99213Normal range

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

$900K

21K claims · 0.9%

Your Cost: $43.19/claim|Median: $37.81
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$882K

31K claims · 0.8%

Your Cost: $28.53/claim|Median: $41.28
0.7× median
H0038Normal range

Self-help/peer services, per 15 minutes

$851K

12K claims · 0.8%

Your Cost: $71.98/claim|Median: $55.04
1.3× median
T1024Top 25%

Evaluation & treatment, integrated specialty team

$719K

2,173 claims · 0.7%

Your Cost: $330.91/claim|Median: $119.08
2.8× median
90791Normal range

Psychiatric diagnostic evaluation

$608K

6,970 claims · 0.6%

Your Cost: $87.18/claim|Median: $99.21
0.9× median
T1017Normal range

Targeted case management, per 15 min

$597K

7,192 claims · 0.6%

Your Cost: $83.00/claim|Median: $69.56
1.2× median
90887Normal range

Interpretation/explanation of results

$227K

9,286 claims · 0.2%

Your Cost: $24.49/claim|Median: $47.55
0.5× median
90882Normal range

Environmental intervention

$199K

8,389 claims · 0.2%

Your Cost: $23.70/claim|Median: $45.05
0.5× median
99215Normal range

Office/outpatient visit, high complexity

$175K

1,894 claims · 0.2%

Your Cost: $92.25/claim|Median: $74.09
1.2× median
96153Top 10%

Health/behavior intervention, group

$161K

2,563 claims · 0.2%

Your Cost: $62.65/claim|Median: $6.67
9.4× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$147K

1,293 claims · 0.1%

Your Cost: $113.36/claim|Median: $121.16
0.9× median
H0046Normal range

Mental health services, not otherwise specified

$128K

6,850 claims · 0.1%

Your Cost: $18.70/claim|Median: $85.02
0.2× median
T1001Top 25%

Nursing assessment/evaluation, per visit

$88K

638 claims · 0.1%

Your Cost: $137.80/claim|Median: $49.05
2.8× median
90853Normal range

Group psychotherapy

$88K

15K claims · 0.1%

Your Cost: $5.78/claim|Median: $25.02
0.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$53K

649 claims · 0.1%

Your Cost: $81.96/claim|Median: $111.09
0.7× median
90847Normal range

Family psychotherapy with patient, 50 min

$52K

640 claims · 0.0%

Your Cost: $81.12/claim|Median: $77.33
1.0× median
S9484Normal range

Crisis intervention mental health services, per hour

$48K

249 claims · 0.0%

Your Cost: $192.92/claim|Median: $249.51
0.8× median
99404Normal range

$33K

215 claims · 0.0%

Your Cost: $155.10/claim|Median: $104.92
1.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$27K

273 claims · 0.0%

Your Cost: $99.22/claim|Median: $108.91
0.9× median
96164Top 25%

$10K

573 claims · 0.0%

Your Cost: $18.32/claim|Median: $9.87
1.9× median
90839Normal range

Psychotherapy for crisis, first 60 min

$10K

3,704 claims · 0.0%

Your Cost: $2.60/claim|Median: $83.98
0.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$8K

14K claims · 0.0%

Your Cost: $0.62/claim|Median: $74.63
0.0× median
T2022Normal range

Case management, per month

$8K

47 claims · 0.0%

Your Cost: $166.27/claim|Median: $202.77
0.8× median
90785Top 25%

$7K

654 claims · 0.0%

Your Cost: $10.23/claim|Median: $6.43
1.6× median
96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$5K

508 claims · 0.0%

Your Cost: $10.05/claim|Median: $15.54
0.6× median
99443Normal range

Telephone E/M by physician, 21-30 min

$5K

2,695 claims · 0.0%

Your Cost: $1.89/claim|Median: $32.55
0.1× median
H0031Normal range

Mental health assessment by non-physician

$4K

297 claims · 0.0%

Your Cost: $14.95/claim|Median: $96.18
0.2× median
99204Normal range

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

$3K

94 claims · 0.0%

Your Cost: $36.43/claim|Median: $84.03
0.4× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

1,573 claims · 0.0%

Your Cost: $1.64/claim|Median: $22.44
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$1K

70 claims · 0.0%

Your Cost: $17.45/claim|Median: $25.06
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$487

1,187 claims · 0.0%

Your Cost: $0.41/claim|Median: $12.93
0.0× median
99417Normal range

$365

13 claims · 0.0%

Your Cost: $28.11/claim|Median: $34.90
0.8× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$107

16 claims · 0.0%

Your Cost: $6.66/claim|Median: $72.96
0.1× 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

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