Residential
Gavin Foundation, INC.
Gavin Foundation, INC. was paid $6.44M by Medicaid between Jan 2018 and Dec 2024, across 11 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 — 48% of everything it billed.
33Billing provider infoGAVIN FOUNDATION, INC.
QUINCY, MA 02170
QUINCY, MA 02170
33aNPI1750895413assigned 11/16/2017
33bProvider typeMental Illness Community Based Residential Treatment Facility
28Total paid$6.44M
24GClaims36,304
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
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 | 4,988 | $1.38M | |
| 2019 | 10,164 | $1.25M | |
| 2020 | 5,839 | $836K | |
| 2021 | 5,832 | $1.01M | |
| 2022 | 3,923 | $544K | |
| 2023 | 4,165 | $648K | |
| 2024incomplete | 1,393 | $782K |
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 | 48% | 18,646 | 1,146 | $3.07M |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 19% | 4,817 | 674 | $1.19M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 10% | 1,236 | 1,160 | $655K |
| H0011 | Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | 9.8% | 1,214 | 305 | $631K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 6.0% | 4,395 | 2,785 | $387K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 4.9% | 4,283 | 623 | $317K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.3% | 1,170 | 1,164 | $146K |
| 99404 | <1% | 122 | 122 | $20K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 290 | 97 | $10K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 103 | 95 | $5K |
| 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 | <1% | 28 | 24 | $3K |
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 officialMCGAHAN, JOHN (PRESIDENT/CEO)
Parent organizationGAVIN FOUNDATION, INC.
| Provider | Location | Paid |
|---|---|---|
| Gavin Foundation | South Boston, MA | $50.80M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.