First Psychiatric Planners, INC

First Psychiatric Planners, INC was paid $2.70M by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is H0035, Mental health partial hospitalization, treatment, less than 24 hours — 87% of everything it billed.

33Billing provider infoFIRST PSYCHIATRIC PLANNERS, INC
BROOKLINE, MA 02467

33aNPI1093714412assigned 07/18/2005

33bProvider typePsychiatric Hospital

28Total paid$2.70M

24GClaims33,471

24DCodes billed19

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Psychiatric Hospital providers in Massachusetts

Rank by total paid#5 of 16

Median peer was paid$294K

This provider vs. median9.2×

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	7,291	$126K
2019	8,308	$225K
2020	5,163	$410K
2021	4,607	$809K
2022	4,187	$898K
2023	2,367	$217K
2024incomplete	1,548	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0035	Mental health partial hospitalization, treatment, less than 24 hours	87%	6,775	971	$2.35M
99231	Subsequent hospital care, per day, straightforward or low complexity	3.1%	11,579	5,107	$84K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.7%	3,198	948	$73K
99223	Prolong inpt eval add15 m	2.1%	1,782	1,660	$56K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.6%	2,983	891	$44K
G0410	Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes	1.1%	3,101	419	$30K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	<1%	36	34	$14K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	<1%	35	34	$14K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	34	34	$14K
99239	Hospital discharge day management, more than 30 minutes	<1%	409	393	$9K
90792	Psychiatric diagnostic evaluation with medical services	<1%	193	191	$6K
71046	Radiologic examination, chest; 2 views	<1%	34	31	$4K

7 more codes

80053	Comprehensive metabolic panel	<1%	110	$1K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	107	$974.48
99221		<1%	20	$349.43
80061	Lipid panel	<1%	30	$129.28
85610		<1%	16	$76.00
G0177	Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)	0%	2,991	$0.00
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	0%	38	$0.00

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 officialGALE, MICHAEL (CHIEF FINANCIAL OFFICER)