Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Renaissance Primary Care, LLC

Renaissance Primary Care, LLC was paid $11.32M by Medicaid between May 2019 and Nov 2024, across 10 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 71% of everything it billed.

33Billing provider infoRENAISSANCE PRIMARY CARE, LLC
SOUTHBRIDGE, MA 01550
33aNPI1649729021assigned 09/27/2016
33bProvider typeMental Health Counselor
28Total paid$11.32M
24GClaims144,086
24DCodes billed10
24AFirst – last monthMay 2019 – Nov 2024
Compared with peers

Next to other Mental Health Counselor providers in Massachusetts

Rank by total paid#11 of 597
Median peer was paid$53K
This provider vs. median212×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2019181$8K
202037,291$2.60M
202153,328$4.12M
202249,808$4.32M
20232,599$214K
2024incomplete879$60K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 71% 105,126 42,436 $8.01M
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 10% 11,622 11,107 $1.13M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 7.3% 9,118 4,104 $826K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.4% 10,367 9,736 $723K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 2.1% 2,248 2,078 $242K
90882 1.9% 2,795 1,123 $209K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 1,905 1,153 $79K
99404 <1% 446 441 $72K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 162 143 $15K
90887 <1% 297 202 $11K

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 officialMANUEL, JAMES (PSYCHOLOGIST)