Clinic
Bay State Community Services, INC.
Bay State Community Services, INC. was paid $28.32M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is H0023, Behavioral health outreach service (planned approach to reach a targeted population) — 38% of everything it billed.
33Billing provider infoBAY STATE COMMUNITY SERVICES, INC.
QUINCY, MA 02169
QUINCY, MA 02169
33aNPI1134126865assigned 07/07/2005
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$28.32M
24GClaims388,305
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Massachusetts
Rank by total paid#2 of 15
Median peer was paid$1.26M
This provider vs. median23×
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 | 64,700 | $5.13M | |
| 2019 | 73,800 | $5.22M | |
| 2020 | 63,636 | $4.41M | |
| 2021 | 43,123 | $3.46M | |
| 2022 | 47,107 | $3.38M | |
| 2023 | 51,139 | $3.41M | |
| 2024incomplete | 44,800 | $3.32M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 38% | 201,329 | 7,799 | $10.63M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 29% | 58,908 | 7,153 | $8.27M |
| T1027 | Family training and counseling for child development, per 15 minutes | 17% | 49,462 | 7,334 | $4.90M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.8% | 22,753 | 10,260 | $1.94M |
| H0038 | Self-help/peer services, per 15 minutes | 3.5% | 12,133 | 1,908 | $984K |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 2.1% | 29,175 | 1,139 | $599K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 1.3% | 3,567 | 448 | $358K |
| 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 | 1.1% | 3,284 | 3,020 | $319K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 4,727 | 2,235 | $140K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 721 | 711 | $87K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,773 | 1,348 | $79K |
| 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% | 296 | 268 | $17K |
3 more codes
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 officialCOX, DAURICE (CEO)