Clinic
South Bay Mental Health Center, INC.
South Bay Mental Health Center, INC. was paid $43.23M by Medicaid between Jan 2018 and Apr 2023, across 27 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 71% of everything it billed.
33Billing provider infoSOUTH BAY MENTAL HEALTH CENTER, INC.
BROCKTON, MA 02301
BROCKTON, MA 02301
33aNPI1033294558assigned 10/25/2006
33bProvider typeAdolescent and Children Mental Health Clinic/Center
28Total paid$43.23M
24GClaims374,188
24DCodes billed27
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Adolescent and Children Mental Health Clinic/Center providers in Massachusetts
Rank by total paid#2 of 7
Median peer was paid$1.01M
This provider vs. median43×
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 | 126,043 | $14.48M | |
| 2019 | 119,328 | $14.34M | |
| 2020 | 99,518 | $11.01M | |
| 2021 | 29,228 | $3.39M | |
| 2022 | 59 | $9K | |
| 2023 | 12 | $562.10 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 71% | 285,017 | 61,051 | $30.81M |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | 16% | 30,533 | 13,162 | $6.84M |
| 96153 | 5.2% | 28,868 | 9,721 | $2.26M | |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 3.7% | 10,137 | 1,094 | $1.58M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.3% | 4,562 | 2,093 | $572K |
| H0031 | Mental health assessment, by non-physician | <1% | 2,237 | 928 | $379K |
| H0032 | Mental health service plan development by non-physician | <1% | 1,908 | 803 | $340K |
| 96165 | <1% | 3,468 | 1,523 | $151K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,048 | 807 | $82K |
| 96164 | <1% | 4,159 | 1,787 | $73K | |
| T1027 | Family training and counseling for child development, per 15 minutes | <1% | 1,350 | 630 | $70K |
| 97156 | <1% | 157 | 83 | $14K |
15 more codes
| H2012 | Behavioral health day treatment, per hour | <1% | 115 | $13K |
| 90887 | <1% | 115 | $7K | |
| 90882 | <1% | 113 | $7K | |
| A0429 | Emergency ambulance ride, basic life support | <1% | 19 | $5K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 54 | $5K |
| A0427 | Emergency ambulance ride, advanced life support | <1% | 14 | $4K |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | <1% | 68 | $4K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 45 | $4K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 62 | $3K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 24 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 34 | $2K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 29 | $1K |
| A0425 | Ground mileage, per statute mile | <1% | 26 | $326.43 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 14 | $139.44 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $128.40 |
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 | $112.04M |
| 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.