Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTH MIDDLESEX OPPORTUNITY COUNCIL INC

NPI: 1740336858 · FRAMINGHAM, MA 01702 · Community/Behavioral Health Agency · NPI assigned 01/25/2007

$37.32M
Total Medicaid Paid
300,091
Total Claims
107,481
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGENTILI, SUSAN (CEO)
NPI Enumeration Date01/25/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 26,392 $5.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 5,202 3,956 $17.63M
H2016 Comprehensive community support services, per diem 115,101 17,077 $8.39M
90834 Psychotherapy, 45 minutes with patient 111,071 43,996 $7.08M
H2019 Therapeutic behavioral services, per 15 minutes 10,855 1,472 $1.41M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,982 20,272 $1.22M
90853 Group psychotherapy (other than of a multiple-family group) 11,250 3,895 $339K
90847 Family psychotherapy with the patient present, 50 minutes 3,825 1,744 $339K
90832 Psychotherapy, 30 minutes with patient 10,404 5,967 $260K
90791 Psychiatric diagnostic evaluation 2,036 1,796 $240K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,482 5,182 $192K
90837 Psychotherapy, 53 minutes with patient 733 419 $77K
90882 1,391 1,087 $55K
90792 Psychiatric diagnostic evaluation with medical services 400 400 $36K
90887 330 189 $36K
99404 29 29 $4K