Clinic
South Bay Mental Health Center, INC.
South Bay Mental Health Center, INC. was paid $112.04M by Medicaid between Jan 2018 and May 2021, across 28 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 40% of everything it billed.
33Billing provider infoSOUTH BAY MENTAL HEALTH CENTER, INC.
BROCKTON, MA 02301
BROCKTON, MA 02301
33aNPI1023096864assigned 01/03/2006
28Total paid$112.04M
24GClaims1,324,228
24DCodes billed28
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Massachusetts
Rank by total paid#3 of 72
Median peer was paid$1.85M
This provider vs. median61×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 475,733 | $40.22M | |
| 2019 | 381,173 | $33.72M | |
| 2020 | 353,991 | $28.99M | |
| 2021 | 113,331 | $9.12M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 40% | 552,099 | 214,584 | $45.20M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 27% | 287,753 | 26,117 | $29.75M |
| T1027 | Family training and counseling for child development, per 15 minutes | 13% | 177,846 | 25,075 | $15.05M |
| H2012 | Behavioral health day treatment, per hour | 4.1% | 67,565 | 6,464 | $4.62M |
| H2014 | Skills training and development, per 15 minutes | 4.0% | 32,297 | 3,386 | $4.50M |
| 90882 | 2.1% | 44,931 | 28,158 | $2.33M | |
| 90887 | 2.1% | 40,751 | 27,973 | $2.32M | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.8% | 23,905 | 17,432 | $2.03M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.8% | 16,706 | 16,551 | $1.96M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 30,753 | 22,403 | $1.27M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 15,373 | 14,545 | $981K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 17,921 | 16,606 | $841K |
16 more codes
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | <1% | 2,976 | $221K |
| H0031 | Mental health assessment, by non-physician | <1% | 1,931 | $179K |
| 99205 | Prolong outpt/office vis | <1% | 1,150 | $147K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,138 | $134K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,405 | $117K |
| H0032 | Mental health service plan development by non-physician | <1% | 718 | $97K |
| H0046 | Mental health services, not otherwise specified | <1% | 2,424 | $85K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,416 | $71K |
| 97156 | <1% | 406 | $49K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 368 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 765 | $21K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 133 | $15K |
| T2022 | Case management, per month | <1% | 22 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $2K |
| 99443 | <1% | 320 | $737.08 | |
| 99442 | <1% | 131 | $525.61 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHART, SARA (PRESIDENT/COO)
| Provider | Location | Paid |
|---|---|---|
| South Bay Mental Health Center, INC. | Brockton, MA | $43.23M |
| South Bay Mental Health Center, INC. | Brockton, MA | $1.08M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.