Behavioral
Birbilis, Niki
Birbilis, Niki was paid $622K by Medicaid between Jul 2020 and Mar 2023, across 14 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 59% of everything it billed.
33Billing provider infoBIRBILIS, NIKI
BROOKLINE, MA 02446
BROOKLINE, MA 02446
33aNPI1578807244assigned 11/20/2012
33bProvider typeMental Health Counselor
28Total paid$622K
24GClaims7,792
24DCodes billed14
24AFirst – last monthJul 2020 – Mar 2023
Compared with peers
Next to other Mental Health Counselor providers in Massachusetts
Rank by total paid#55 of 597
Median peer was paid$53K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2020 | 861 | $54K | |
| 2021 | 3,138 | $173K | |
| 2022 | 2,765 | $287K | |
| 2023 | 1,028 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 59% | 3,114 | 1,255 | $367K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 17% | 1,252 | 649 | $109K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.0% | 726 | 449 | $31K |
| 0012A | 2.9% | 382 | 381 | $18K | |
| 0002A | 2.8% | 379 | 379 | $18K | |
| 0001A | 2.7% | 381 | 381 | $17K | |
| 0011A | 2.4% | 379 | 379 | $15K | |
| 90887 | 2.1% | 303 | 225 | $13K | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 2.0% | 99 | 79 | $12K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.4% | 93 | 78 | $9K |
| 90785 | <1% | 497 | 213 | $6K | |
| 90882 | <1% | 143 | 65 | $5K |
2 more codes
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.