Gavin Foundation

Gavin Foundation was paid $50.80M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 40% of everything it billed.

33Billing provider infoGAVIN FOUNDATION
SOUTH BOSTON, MA 02127

33aNPI1396079414assigned 09/22/2009

33bProvider typeClinic/Center

28Total paid$50.80M

24GClaims238,141

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Clinic/Center providers in Massachusetts

Rank by total paid#3 of 53

Median peer was paid$154K

This provider vs. median330×

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	12,392	$2.39M
2019	32,298	$5.06M
2020	35,308	$5.68M
2021	32,272	$6.73M
2022	33,858	$7.92M
2023	45,850	$10.69M
2024incomplete	46,163	$12.32M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0019	Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	40%	134,434	6,611	$20.08M
H0011	Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)	27%	30,587	7,136	$13.57M
H0010	Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)	24%	35,108	4,264	$12.29M
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	3.4%	17,397	2,750	$1.73M
H2016	Community support for mental illness or disability, billed per dayComprehensive community support services, per diem	3.4%	4,475	3,298	$1.73M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	1.7%	9,488	6,147	$844K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	1,842	1,837	$226K
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%	1,236	1,018	$109K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	685	659	$81K
99205	Prolong outpt/office vis	<1%	254	254	$43K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	1,020	714	$39K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	1,116	588	$34K

4 more codes

90832	Psychotherapy session, about 30 minutes	<1%	427	$21K
99404		<1%	12	$2K
90882		<1%	48	$1K
0011A		<1%	12	$406.68

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 officialMCGAHAN, JOHN (PRESIDENT/CEO)

Same official

Other billing entities under MCGAHAN, JOHN

Full network →

Provider	Location	Paid
Gavin Foundation, INC.	Quincy, MA	$6.44M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.