Behavioral
Gandara Mental Health Center INC
Gandara Mental Health Center INC was paid $133.34M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 29% of everything it billed.
33Billing provider infoGANDARA MENTAL HEALTH CENTER INC
SPRINGFIELD, MA 01104
SPRINGFIELD, MA 01104
33aNPI1134107113assigned 01/09/2006
33bProvider typeMental Health Counselor
28Total paid$133.34M
24GClaims1,407,451
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Massachusetts
Rank by total paid#2 of 597
Median peer was paid$53K
This provider vs. median2,499×
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 | 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 | |
| 2024incomplete | 211,548 | $20.36M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 29% | 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 | 23% | 184,253 | 7,923 | $30.71M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 12% | 300,141 | 11,569 | $16.25M |
| H2014 | Skills training and development, per 15 minutes | 11% | 95,524 | 8,098 | $14.25M |
| T1027 | Family training and counseling for child development, per 15 minutes | 8.4% | 97,801 | 15,568 | $11.18M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 5.7% | 84,155 | 60,839 | $7.65M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 3.4% | 259,411 | 11,212 | $4.54M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.5% | 27,812 | 14,016 | $3.35M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 16,309 | 3,495 | $1.26M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 7,441 | 7,334 | $1.05M |
| 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% | 16,659 | 16,302 | $1.01M |
| 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% | 7,897 | 7,378 | $727K |
15 more codes
| 90882 | <1% | 8,721 | $658K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 19,911 | $653K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 9,582 | $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 | <1% | 2,800 | $233K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,128 | $220K |
| 99205 | Prolong outpt/office vis | <1% | 746 | $131K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,755 | $124K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 1,225 | $111K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 404 | $57K |
| H0046 | Mental health services, not otherwise specified | <1% | 845 | $31K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 298 | $29K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 188 | $15K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 746 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 30 | $2K |
| 99201 | <1% | 43 | $1K |
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 officialEAST-TROU, HENRY (EXECUTIVE DIRECTOR)