Clinic
Eliot Community Human Services
Eliot Community Human Services was paid $103.85M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is T1040, Medicaid certified community behavioral health clinic services, per diem — 17% of everything it billed.
33Billing provider infoELIOT COMMUNITY HUMAN SERVICES
LEXINGTON, MA 02421
LEXINGTON, MA 02421
33aNPI1932271632assigned 11/15/2006
28Total paid$103.85M
24GClaims1,976,102
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Massachusetts
Rank by total paid#4 of 72
Median peer was paid$1.85M
This provider vs. median56×
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 | 171,760 | $10.88M | |
| 2019 | 215,133 | $9.87M | |
| 2020 | 334,848 | $10.79M | |
| 2021 | 361,373 | $12.83M | |
| 2022 | 301,598 | $12.88M | |
| 2023 | 296,235 | $22.65M | |
| 2024incomplete | 295,155 | $23.94M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 17% | 77,360 | 22,667 | $18.04M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 15% | 924,096 | 32,234 | $16.08M |
| S9485 | Crisis intervention mental health services, per diem | 13% | 25,646 | 13,721 | $13.89M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 13% | 176,330 | 73,612 | $13.42M |
| H0040 | Assertive community treatment program, per diem | 13% | 316,390 | 11,012 | $13.08M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 6.3% | 121,879 | 4,560 | $6.53M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 5.3% | 44,750 | 4,896 | $5.51M |
| 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 | 3.9% | 59,818 | 54,460 | $4.07M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 2.8% | 28,161 | 8,027 | $2.93M |
| H2011 | Crisis intervention service, per 15 minutes | 1.8% | 10,764 | 5,441 | $1.83M |
| T1027 | Family training and counseling for child development, per 15 minutes | 1.3% | 15,052 | 3,237 | $1.32M |
| H2012 | Behavioral health day treatment, per hour | 1.1% | 22,722 | 1,967 | $1.10M |
33 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 20,837 | $900K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 30,913 | $882K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 11,817 | $851K |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | <1% | 2,173 | $719K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 6,970 | $608K |
| T1017 | Case management, billed per 15 minutes | <1% | 7,192 | $597K |
| 90887 | <1% | 9,286 | $227K | |
| 90882 | <1% | 8,389 | $199K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,894 | $175K |
| 96153 | <1% | 2,563 | $161K | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 1,293 | $147K |
| H0046 | Mental health services, not otherwise specified | <1% | 6,850 | $128K |
| T1001 | Nursing assessment / evaluation | <1% | 638 | $88K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 15,158 | $88K |
| 99205 | Prolong outpt/office vis | <1% | 649 | $53K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 640 | $52K |
| S9484 | Crisis intervention mental health services, per hour | <1% | 249 | $48K |
| 99404 | <1% | 215 | $33K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 273 | $27K |
| 96164 | <1% | 573 | $10K | |
| 90839 | <1% | 3,704 | $10K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 13,704 | $8K |
| T2022 | Case management, per month | <1% | 47 | $8K |
| 90785 | <1% | 654 | $7K | |
| 96165 | <1% | 508 | $5K | |
| 99443 | <1% | 2,695 | $5K | |
| H0031 | Mental health assessment, by non-physician | <1% | 297 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 94 | $3K |
| 99442 | <1% | 1,573 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 70 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,187 | $486.97 |
| 99417 | Prolong home eval add 15m | <1% | 13 | $365.45 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 16 | $106.60 |
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 officialMARKARIAN, KATE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Eliot Community Human Services | Concord, MA | $37.35M |
| Eliot Community Human Services | Lexington, MA | $17.54M |
| Eliot Community Human Services | Malden, MA | $3.60M |
| Eliot Community Human Services, INC. | Lexington, MA | $2.51M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.