Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GANDARA MENTAL HEALTH CENTER INC

NPI: 1134107113 · SPRINGFIELD, MA 01104 · Mental Health Counselor · NPI assigned 01/09/2006

$133.34M
Total Medicaid Paid
1,407,451
Total Claims
220,045
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEAST-TROU, HENRY (EXECUTIVE DIRECTOR)
NPI Enumeration Date01/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 153,486 $14.15M
2019 206,946 $18.92M
2020 225,942 $19.10M
2021 193,249 $18.63M
2022 197,448 $20.03M
2023 218,832 $22.16M
2024 211,548 $20.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2019 Therapeutic behavioral services, per 15 minutes 258,626 23,459 $38.62M
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 184,253 7,923 $30.71M
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 300,141 11,569 $16.25M
H2014 Skills training and development, per 15 minutes 95,524 8,098 $14.25M
T1027 Family training and counseling for child development, per 15 minutes 97,801 15,568 $11.18M
90834 Psychotherapy, 45 minutes with patient 84,155 60,839 $7.65M
H2016 Comprehensive community support services, per diem 259,411 11,212 $4.54M
90837 Psychotherapy, 53 minutes with patient 27,812 14,016 $3.35M
H2015 Comprehensive community support services, per 15 minutes 16,309 3,495 $1.26M
90791 Psychiatric diagnostic evaluation 7,441 7,334 $1.05M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,659 16,302 $1.01M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,897 7,378 $727K
90882 8,721 6,695 $658K
90853 Group psychotherapy (other than of a multiple-family group) 19,911 8,370 $653K
90832 Psychotherapy, 30 minutes with patient 9,582 8,559 $474K
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 2,800 391 $233K
99215 Prolong outpt/office vis 2,128 2,043 $220K
99205 Prolong outpt/office vis 746 744 $131K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,755 3,688 $124K
H0038 Self-help/peer services, per 15 minutes 1,225 173 $111K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 404 390 $57K
H0046 Mental health services, not otherwise specified 845 575 $31K
90847 Family psychotherapy with the patient present, 50 minutes 298 249 $29K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 188 187 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 746 715 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 30 30 $2K
99201 43 43 $1K