Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Massachusetts for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Massachusetts only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Massachusetts (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

South Bay Mental Health Center, Inc. (NPI 1033294558)

Field	Value
Entity Type	Organization
Organization	South Bay Mental Health Center, Inc.
Address	1115 West Chestnut Street Suite 202
City	Brockton
State	MA
ZIP	02301
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$43.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	285,020	$110	$30.8M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	30,530	$220	$6.8M
96153	N/A	28,870	$80	$2.3M
H2019	Therapeutic behavioral services, per 15 minutes	10,140	$160	$1.6M
T1015	Clinic visit/encounter, all-inclusive	4,560	$130	$570.3K
H0031	Mental health assessment, by non-physician	2,240	$170	$378.1K
H0032	Mental health service plan development by non-physician	1,910	$180	$339.6K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	3,470	$40	$152.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,050	$80	$81.7K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	4,160	$20	$70.7K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

Claims Volume vs. Massachusetts Distribution

South Bay Mental Health Center, Inc. — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	118	130	34,780	$60	$7.4M
H2015	Comprehensive community support services, per 15 minutes	3	150	7,770	$140	$4.8M
H2019	Therapeutic behavioral services, per 15 minutes	98	290	3,680	$150	$2.9M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	4	50	3,060	$240	$2.4M
T1027	Family training and counseling for child development, per 15 minutes	83	130	4,300	$110	$2.1M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	289	310	8,710	$40	$1.6M
T1015	Clinic visit/encounter, all-inclusive	95	550	90	$140	$1.5M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	229	240	980	$180	$1.2M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	208	220	1,290	$180	$740.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	626	1,620	580	$80	$599.6K

Showing 1–10 of 27

Nearby Providers

Other providers in the same ZIP code as South Bay Mental Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$309.8M
Old Colony Elderly Services, Inc.	MA	Case Management Agency	$0	$137.5M
South Bay Mental Health Center, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$112M
Massachusetts Mentor LLC	MA	Foster Care Agency	$0	$95.6M
Brockton Neighborhood Health Center	MA	Federally Qualified Health Center (FQHC)	$0	$91.2M
Sb Transitional Sub, LLC	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$84.8M
Steward Good Samaritan Medical Center, Inc.	MA	General Acute Care Hospital	$0	$64.2M
Pediatric Services Of America, LLC	MA	Nursing Care Agency	$0	$47.8M
Sb Transitional Sub, LLC	MA	Early Intervention Provider Agency	$0	$35.9M
Healthier You Wellness Nutrition Partners Of Greater Boston, LLC	MA	Health Maintenance Organization	$0	$33.8M

South Bay Mental Health Center, Inc. — Billing Profile & Reimbursement Data

Sign up for South Bay Mental Health Center, Inc. — Billing Profile & Reimbursement Data policy alerts

South Bay Mental Health Center, Inc. — Billing Profile & Reimbursement Data

Sign up for South Bay Mental Health Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References