Behavioral Health Network, INC
Behavioral Health Network, INC was paid $76.56M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is G2067, Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) — 19% of everything it billed.
SPRINGFIELD, MA 01104
Next to other Adult Day Care Clinic/Center providers in Massachusetts
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 95,002 | $9.17M | |
| 2019 | 109,847 | $9.01M | |
| 2020 | 76,275 | $4.77M | |
| 2021 | 125,392 | $6.92M | |
| 2022 | 208,546 | $10.32M | |
| 2023 | 165,137 | $18.47M | |
| 2024incomplete | 136,062 | $17.90M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | 19% | 75,024 | 19,298 | $14.32M |
| 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 | 18% | 80,684 | 3,433 | $13.66M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 9.0% | 55,085 | 12,914 | $6.90M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 7.4% | 106,983 | 4,140 | $5.69M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 7.2% | 69,694 | 38,180 | $5.51M |
| S9485 | Crisis intervention mental health services, per diem | 5.5% | 6,825 | 3,937 | $4.21M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 5.2% | 31,778 | 6,398 | $3.97M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 5.0% | 16,763 | 12,540 | $3.81M |
| H2011 | Crisis intervention service, per 15 minutes | 3.4% | 22,758 | 6,694 | $2.62M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 3.3% | 168,926 | 8,243 | $2.52M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 2.6% | 111,353 | 4,767 | $1.99M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.0% | 18,019 | 11,126 | $1.50M |
33 more codes
| T1027 | Family training and counseling for child development, per 15 minutes | 1.6% | 12,655 | $1.25M |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 1.6% | 37,950 | $1.21M |
| H0040 | Assertive community treatment program, per diem | 1.4% | 12,252 | $1.07M |
| H2014 | Skills training and development, per 15 minutes | 1.4% | 11,211 | $1.04M |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | 1.1% | 3,719 | $807K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 14,537 | $751K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 14,266 | $617K |
| 90882 | <1% | 10,287 | $529K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 3,710 | $429K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 4,566 | $378K |
| T1017 | Case management, billed per 15 minutes | <1% | 2,643 | $364K |
| G2076 | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code | <1% | 1,952 | $324K |
| 90887 | <1% | 6,639 | $270K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 2,371 | $133K |
| 96153 | <1% | 1,592 | $119K | |
| H0046 | Mental health services, not otherwise specified | <1% | 2,515 | $96K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,763 | $80K |
| 99404 | <1% | 965 | $79K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 843 | $67K |
| H2012 | Behavioral health day treatment, per hour | <1% | 766 | $46K |
| H0031 | Mental health assessment, by non-physician | <1% | 293 | $45K |
| H0032 | Mental health service plan development by non-physician | <1% | 220 | $45K |
| 96165 | <1% | 619 | $33K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 814 | $33K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 804 | $30K |
| 96164 | <1% | 654 | $12K | |
| 0031A | <1% | 112 | $5K | |
| 0011A | <1% | 111 | $5K | |
| 0012A | <1% | 77 | $4K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 189 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 216 | $3K |
| T2025 | Waiver services not otherwise specified | <1% | 46 | $2K |
| 0001A | <1% | 12 | $550.56 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Behavioral Health Network, INC | Springfield, MA | $108.36M |
| Behavioral Health Network INC | Springfield, MA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.