South Middlesex Opportunity Council INC

South Middlesex Opportunity Council INC was paid $37.32M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 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 — 47% of everything it billed.

Compared with peers

Next to other Community/Behavioral Health Agency providers in Massachusetts

Rank by total paid#18 of 169

Median peer was paid$1.37M

This provider vs. median27×

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	28,705	$2.27M
2019	43,289	$3.91M
2020	56,923	$5.55M
2021	61,387	$6.28M
2022	48,757	$7.01M
2023	34,638	$7.22M
2024incomplete	26,392	$5.08M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	47%	5,202	3,956	$17.63M
H2016	Community support for mental illness or disability, billed per dayComprehensive community support services, per diem	22%	115,101	17,077	$8.39M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	19%	111,071	43,996	$7.08M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	3.8%	10,855	1,472	$1.41M
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	3.3%	21,982	20,272	$1.22M
90853	Group psychotherapy (other than of a multiple-family group)	<1%	11,250	3,895	$339K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	3,825	1,744	$339K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	10,404	5,967	$260K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	2,036	1,796	$240K
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%	5,482	5,182	$192K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	733	419	$77K
90882		<1%	1,391	1,087	$55K

3 more codes

90792	Psychiatric diagnostic evaluation with medical services	<1%	400	$36K
90887		<1%	330	$36K
99404		<1%	29	$4K

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 officialGENTILI, SUSAN (CEO)