Counseling & Assessment Clinic of Worcester LLC

Counseling & Assessment Clinic of Worcester LLC was paid $17.51M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 59% of everything it billed.

33Billing provider infoCOUNSELING & ASSESSMENT CLINIC OF WORCESTER LLC
WORCESTER, MA 01609

33aNPI1487863494assigned 05/22/2007

33bProvider typeMental Health Counselor

28Total paid$17.51M

24GClaims186,914

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in Massachusetts

Rank by total paid#7 of 597

Median peer was paid$53K

This provider vs. median328×

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	37,392	$3.41M
2019	38,915	$3.62M
2020	28,778	$2.53M
2021	20,589	$2.03M
2022	22,992	$2.30M
2023	20,704	$2.05M
2024incomplete	17,544	$1.57M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	59%	124,133	50,214	$10.33M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	26%	25,190	3,275	$4.53M
T1027	Family training and counseling for child development, per 15 minutes	3.3%	5,252	981	$583K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	2.9%	3,325	3,311	$515K
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	2.0%	4,757	4,394	$355K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	5,123	4,918	$267K
90887		1.2%	4,396	2,822	$204K
90853	Group psychotherapy (other than of a multiple-family group)	1.1%	6,082	2,096	$189K
90882		<1%	3,921	2,619	$159K
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	<1%	2,014	228	$133K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	1,082	405	$119K
H2014	Skills training and development, per 15 minutes	<1%	562	75	$77K

6 more codes

H0046	Mental health services, not otherwise specified	<1%	655	$27K
90832	Psychotherapy session, about 30 minutes	<1%	181	$8K
99404		<1%	43	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	159	$5K
99215	Doctor's office visit, returning patient (complex)	<1%	21	$2K
H0031	Mental health assessment, by non-physician	<1%	18	$270.00

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 officialHYLTON, JENNIFER (EXECUTIVE DIRECTOR)