Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GAVIN FOUNDATION

NPI: 1396079414 · SOUTH BOSTON, MA 02127 · Clinic/Center · NPI assigned 09/22/2009

$50.80M
Total Medicaid Paid
238,141
Total Claims
35,688
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCGAHAN, JOHN (PRESIDENT/CEO)
NPI Enumeration Date09/22/2009

Related Entities

Other providers sharing the same authorized official: MCGAHAN, JOHN

ProviderCityStateTotal Paid
GAVIN FOUNDATION, INC. QUINCY MA $6.44M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 46,163 $12.32M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 134,434 6,611 $20.08M
H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) 30,587 7,136 $13.57M
H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) 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 17,397 2,750 $1.73M
H2016 Comprehensive community support services, per diem 4,475 3,298 $1.73M
90834 Psychotherapy, 45 minutes with patient 9,488 6,147 $844K
90791 Psychiatric diagnostic evaluation 1,842 1,837 $226K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,236 1,018 $109K
99215 Prolong outpt/office vis 685 659 $81K
99205 Prolong outpt/office vis 254 254 $43K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,020 714 $39K
90853 Group psychotherapy (other than of a multiple-family group) 1,116 588 $34K
90832 Psychotherapy, 30 minutes with patient 427 358 $21K
99404 12 12 $2K
90882 48 30 $1K
0011A 12 12 $406.68