Behavioral Concepts Innovation, LLC

Behavioral Concepts Innovation, LLC was paid $14.80M by Medicaid between Jan 2018 and Mar 2020, across 4 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 77% of everything it billed.

33Billing provider infoBEHAVIORAL CONCEPTS INNOVATION, LLC
WORCESTER, MA 01607

33aNPI1548544026assigned 10/03/2011

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$14.80M

24GClaims83,290

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Community/Behavioral Health Agency providers in Massachusetts

Rank by total paid#36 of 169

Median peer was paid$1.37M

This provider vs. median11×

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	46,547	$8.49M
2019	35,836	$6.14M
2020	907	$172K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	77%	59,906	4,847	$11.38M
H0032	Mental health service plan development by non-physician	13%	11,304	3,890	$1.86M
H0031	Mental health assessment, by non-physician	9.0%	10,250	3,873	$1.33M
H2012	Behavioral health day treatment, per hour	1.6%	1,830	1,396	$233K

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 officialWHALEN, MELISSA (CREDENTIALING SPECIALIST)