Clinic
Casa Esperanza, INC.
Casa Esperanza, INC. was paid $1.16M by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 58% of everything it billed.
33Billing provider infoCASA ESPERANZA, INC.
ROXBURY, MA 02119
ROXBURY, MA 02119
33aNPI1205060621assigned 05/13/2009
33bProvider typeAdult Mental Health Clinic/Center
28Total paid$1.16M
24GClaims20,669
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Adult Mental Health Clinic/Center providers in Massachusetts
Rank by total paid#7 of 20
Median peer was paid$222K
This provider vs. median5.2×
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 | 2,311 | $102K | |
| 2019 | 4,160 | $193K | |
| 2020 | 3,200 | $147K | |
| 2021 | 2,925 | $157K | |
| 2022 | 2,176 | $154K | |
| 2023 | 3,508 | $215K | |
| 2024incomplete | 2,389 | $195K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 58% | 6,523 | 3,833 | $672K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 30% | 11,802 | 2,506 | $348K |
| 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 | 5.5% | 743 | 176 | $64K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.2% | 1,380 | 1,052 | $60K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 132 | 80 | $11K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 62 | 51 | $4K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 15 | 15 | $2K |
| 98967 | <1% | 12 | 12 | $235.56 |
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 officialSTEWART, EMILY (CEO)
| Provider | Location | Paid |
|---|---|---|
| Casa Esperanza, INC. | Tewksbury, MA | $797K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.