Clinic
Eliot Community Human Services
Eliot Community Human Services was paid $17.54M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 28% of everything it billed.
33Billing provider infoELIOT COMMUNITY HUMAN SERVICES
LEXINGTON, MA 02421
LEXINGTON, MA 02421
33aNPI1225229958assigned 08/07/2007
28Total paid$17.54M
24GClaims327,122
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Massachusetts
Rank by total paid#15 of 72
Median peer was paid$1.85M
This provider vs. median9.5×
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 | 6,491 | $436K | |
| 2019 | 12,760 | $926K | |
| 2020 | 28,993 | $2.36M | |
| 2021 | 27,012 | $2.89M | |
| 2022 | 75,556 | $3.85M | |
| 2023 | 110,095 | $3.89M | |
| 2024incomplete | 66,215 | $3.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 28% | 202,104 | 6,946 | $4.89M |
| S9485 | Crisis intervention mental health services, per diem | 19% | 5,796 | 3,010 | $3.31M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 12% | 40,020 | 1,528 | $2.09M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 11% | 11,087 | 1,748 | $1.94M |
| H0040 | Assertive community treatment program, per diem | 9.1% | 31,947 | 1,200 | $1.60M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 8.1% | 17,030 | 6,936 | $1.42M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 5.6% | 4,159 | 1,274 | $985K |
| H2011 | Crisis intervention service, per 15 minutes | 3.7% | 2,629 | 1,330 | $656K |
| T1027 | Family training and counseling for child development, per 15 minutes | 1.2% | 3,124 | 517 | $215K |
| H2012 | Behavioral health day treatment, per hour | <1% | 2,230 | 214 | $116K |
| 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% | 1,072 | 1,015 | $97K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 1,377 | 757 | $37K |
11 more codes
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 1,118 | $35K |
| T1017 | Case management, billed per 15 minutes | <1% | 331 | $28K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 468 | $21K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 347 | $21K |
| 90887 | <1% | 649 | $21K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 234 | $14K |
| 90882 | <1% | 549 | $13K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 177 | $13K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 96 | $7K |
| S9484 | Crisis intervention mental health services, per hour | <1% | 14 | $4K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 564 | $0.00 |
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 officialMARKARIAN, KATE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Eliot Community Human Services | Lexington, MA | $103.85M |
| Eliot Community Human Services | Concord, MA | $37.35M |
| Eliot Community Human Services | Malden, MA | $3.60M |
| Eliot Community Human Services, INC. | Lexington, MA | $2.51M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.