Agency
Riverside Community Care, INC.
Riverside Community Care, INC. was paid $108.13M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 18% of everything it billed.
33Billing provider infoRIVERSIDE COMMUNITY CARE, INC.
NORWOOD, MA 02062
NORWOOD, MA 02062
33aNPI1780791467assigned 08/25/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$108.13M
24GClaims1,538,379
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Massachusetts
Rank by total paid#7 of 169
Median peer was paid$1.37M
This provider vs. median79×
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 | 196,296 | $15.64M | |
| 2019 | 191,992 | $12.91M | |
| 2020 | 207,923 | $12.93M | |
| 2021 | 210,042 | $13.09M | |
| 2022 | 228,756 | $15.37M | |
| 2023 | 261,001 | $18.98M | |
| 2024incomplete | 242,369 | $19.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 18% | 265,688 | 113,930 | $19.54M |
| S9485 | Crisis intervention mental health services, per diem | 17% | 30,999 | 17,375 | $18.60M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 15% | 75,105 | 30,914 | $16.05M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 12% | 251,002 | 9,365 | $13.22M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 8.9% | 79,210 | 8,315 | $9.67M |
| H2011 | Crisis intervention service, per 15 minutes | 6.2% | 49,110 | 12,296 | $6.73M |
| 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 | 3.5% | 65,965 | 58,204 | $3.79M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.4% | 38,044 | 17,680 | $3.71M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 2.8% | 159,578 | 5,922 | $3.06M |
| H2012 | Behavioral health day treatment, per hour | 1.9% | 28,231 | 2,374 | $2.03M |
| T1027 | Family training and counseling for child development, per 15 minutes | 1.8% | 20,454 | 3,388 | $2.00M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 1.8% | 21,824 | 5,590 | $1.93M |
43 more codes
| H0040 | Assertive community treatment program, per diem | 1.1% | 24,081 | $1.24M |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 35,191 | $982K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 25,749 | $949K |
| T1017 | Case management, billed per 15 minutes | <1% | 7,658 | $748K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 6,428 | $688K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 7,046 | $571K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 6,107 | $488K |
| H0046 | Mental health services, not otherwise specified | <1% | 13,289 | $409K |
| 90887 | <1% | 8,674 | $394K | |
| 90882 | <1% | 7,713 | $382K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 14,912 | $364K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 4,912 | $155K |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | <1% | 489 | $129K |
| 99205 | Prolong outpt/office vis | <1% | 860 | $108K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,530 | $48K |
| 90785 | <1% | 14,336 | $32K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 154 | $18K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 202 | $15K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 158 | $14K |
| 90838 | <1% | 92 | $13K | |
| 90836 | <1% | 79 | $11K | |
| 80305 | <1% | 1,101 | $9K | |
| 96153 | <1% | 71 | $3K | |
| H0031 | Mental health assessment, by non-physician | <1% | 177 | $3K |
| 99404 | <1% | 14 | $2K | |
| T2022 | Case management, per month | <1% | 12 | $2K |
| 99442 | <1% | 850 | $2K | |
| 96164 | <1% | 84 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 30 | $993.12 |
| 99443 | <1% | 129 | $829.58 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 198 | $188.94 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 290 | $105.53 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 9,374 | $0.00 |
| G9006 | Coordinated care fee, home monitoring | 0% | 1,198 | $0.00 |
| G9005 | Coordinated care fee, risk adjusted maintenance | 0% | 162,017 | $0.00 |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 23,337 | $0.00 |
| T2024 | Service assessment/plan of care development, waiver | 0% | 14,901 | $0.00 |
| G9011 | Coordinated care fee, risk adjusted maintenance, level 5 | 0% | 43,127 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,346 | $0.00 |
| G9004 | Coordinated care fee, risk adjusted low, initial | 0% | 1,604 | $0.00 |
| G9920 | Screening performed and negative | 0% | 423 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 2,384 | $0.00 |
| T2038 | Community transition, waiver; per service | 0% | 10,842 | $0.00 |
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 officialMEDALIE, MARSHA (EXECUTIVE VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Riverside Community Care | Needham, MA | $6.51M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.