Clinical & Support Options, INC
Clinical & Support Options, INC was paid $147.83M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 25% of everything it billed.
33Billing provider infoCLINICAL & SUPPORT OPTIONS, INC
GREENFIELD, MA 01301
GREENFIELD, MA 01301
33aNPI1831265115assigned 11/28/2006
33bProvider typeRespite Care
28Total paid$147.83M
24GClaims1,587,375
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Respite Care providers in Massachusetts
Rank by total paid#1 of 6
Median peer was paid$9.30M
This provider vs. median16×
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 | 259,386 | $22.92M | |
| 2019 | 277,959 | $23.75M | |
| 2020 | 255,625 | $21.70M | |
| 2021 | 214,353 | $19.23M | |
| 2022 | 185,259 | $17.85M | |
| 2023 | 211,845 | $22.92M | |
| 2024incomplete | 182,948 | $19.46M |
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 | 25% | 505,399 | 221,129 | $37.44M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 14% | 97,733 | 43,142 | $21.32M |
| S9485 | Crisis intervention mental health services, per diem | 13% | 35,291 | 15,649 | $19.72M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 13% | 153,539 | 18,551 | $18.58M |
| T1027 | Family training and counseling for child development, per 15 minutes | 4.8% | 83,341 | 15,104 | $7.07M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 4.5% | 130,624 | 5,021 | $6.69M |
| H2011 | Crisis intervention service, per 15 minutes | 4.1% | 39,076 | 9,117 | $6.02M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 3.0% | 66,598 | 15,175 | $4.48M |
| 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 | 2.9% | 76,942 | 71,925 | $4.34M |
| H2014 | Skills training and development, per 15 minutes | 2.3% | 18,849 | 2,879 | $3.40M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 1.7% | 121,687 | 4,620 | $2.50M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.6% | 20,752 | 20,209 | $2.37M |
28 more codes
| 90837 | Psychotherapy session, about an hour | 1.6% | 24,864 | $2.37M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 17,643 | $1.44M |
| 90882 | <1% | 30,630 | $1.42M | |
| 90887 | <1% | 28,387 | $1.37M | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 28,642 | $1.08M |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 23,184 | $1.02M |
| H0040 | Assertive community treatment program, per diem | <1% | 11,879 | $688K |
| T1017 | Case management, billed per 15 minutes | <1% | 6,711 | $672K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 9,414 | $672K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 22,617 | $585K |
| 99404 | <1% | 3,609 | $467K | |
| H0046 | Mental health services, not otherwise specified | <1% | 8,913 | $354K |
| 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 | <1% | 4,654 | $353K |
| H0032 | Mental health service plan development by non-physician | <1% | 2,147 | $297K |
| T1012 | Alcohol and/or substance abuse services, skills development | <1% | 742 | $237K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,788 | $229K |
| H2012 | Behavioral health day treatment, per hour | <1% | 1,872 | $196K |
| H0031 | Mental health assessment, by non-physician | <1% | 2,109 | $186K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,681 | $142K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 107 | $38K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,170 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 540 | $15K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 56 | $7K |
| 99205 | Prolong outpt/office vis | <1% | 43 | $4K |
| 98967 | <1% | 61 | $1K | |
| 0012A | <1% | 12 | $550.44 | |
| 98966 | <1% | 53 | $456.75 | |
| 91301 | 0% | 16 | $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 officialJEFFERS, KARIN (PRESIDENT & CEO)