Bay Coast Behavioral, LLC

Bay Coast Behavioral, LLC was paid $14.94M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is H2014, Skills training and development, per 15 minutes — 41% of everything it billed.

33Billing provider infoBAY COAST BEHAVIORAL, LLC
FALL RIVER, MA 02721

33aNPI1184963993assigned 02/14/2013

33bProvider typeMental Health Counselor

28Total paid$14.94M

24GClaims97,987

24DCodes billed22

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in Massachusetts

Rank by total paid#8 of 597

Median peer was paid$53K

This provider vs. median280×

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	14,075	$2.47M
2019	15,976	$2.59M
2020	17,419	$2.25M
2021	16,434	$2.30M
2022	14,053	$1.88M
2023	11,246	$1.91M
2024incomplete	8,784	$1.54M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2014	Skills training and development, per 15 minutes	41%	33,454	4,413	$6.13M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	33%	27,875	3,374	$4.95M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	13%	17,638	6,859	$1.96M
90887		2.8%	4,929	2,821	$413K
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	2.7%	4,612	4,328	$402K
H2012	Behavioral health day treatment, per hour	1.4%	1,099	486	$207K
H0031	Mental health assessment, by non-physician	1.4%	1,132	602	$203K
H0032	Mental health service plan development by non-physician	1.1%	906	370	$157K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	904	531	$83K
97156		<1%	612	200	$79K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	582	559	$79K
90882		<1%	1,317	939	$73K

10 more codes

H0046	Mental health services, not otherwise specified	<1%	1,154	$58K
99213	Doctor's office visit, returning patient (routine)	<1%	923	$53K
99404		<1%	221	$34K
97153	Applied behavior analysis (autism therapy), per 15 minutes	<1%	184	$26K
90832	Psychotherapy session, about 30 minutes	<1%	247	$11K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	<1%	30	$7K
90791	Psychiatric diagnostic evaluation	<1%	53	$7K
90792	Psychiatric diagnostic evaluation with medical services	<1%	65	$6K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	36	$2K
90785		<1%	14	$108.92

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 officialPATCH, TRACI (EXECUTIVE ASSISTANT)