Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Fall River › NPI 1174006597
Behavioral

Optimal Health: a Mind and Body Wellness Center, LLC

Optimal Health: a Mind and Body Wellness Center, LLC was paid $449K by Medicaid between Sep 2020 and Dec 2024, across 6 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 78% of everything it billed.

33Billing provider infoOPTIMAL HEALTH: A MIND AND BODY WELLNESS CENTER, LLC
FALL RIVER, MA 02720
33aNPI1174006597assigned 09/11/2018
33bProvider typeMental Health Counselor
28Total paid$449K
24GClaims4,082
24DCodes billed6
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers

Next to other Mental Health Counselor providers in Massachusetts

Rank by total paid#84 of 597
Median peer was paid$53K
This provider vs. median8.4×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2020201$17K
2021604$54K
2022639$73K
20231,284$143K
2024incomplete1,354$161K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 78% 2,797 1,015 $352K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 17% 837 272 $74K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 2.2% 322 180 $10K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.3% 43 31 $6K
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% 41 29 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 42 30 $2K

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 officialGOMES, ELIZABETH (OWNER)