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NPI 1154302586 · Beverly, MA · Mental Health Clinic/Center (Including Community Mental Health Center)
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Northeast Behavioral Health Corporation is a mental health clinic/center (including community mental health center) provider located in Beverly, Massachusetts. This profile covers 3 Medicare and 54 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Northeast Behavioral Health Corporation |
| Address | 800 Cummings Center |
| City | Beverly |
| State | MA |
| ZIP | 01915 |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| NPI Enumerated | November 11, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $128.3M |
| Medicare | $430.2K |
Medicaid dominates this provider’s revenue mix: total Medicaid revenue is $128.3M compared with total Medicare revenue of $430.2K, indicating the organization is effectively Medicaid-focused at scale rather than Medicare-dependent. The absolute magnitudes reported point to a large, state-facing behavioral health operation whose payer exposure is concentrated in Medicaid.
Medicare billing is narrowly concentrated within opioid treatment program services: the top three Medicare codes account for 100.0% of Medicare revenue, and G2067 alone represents $397.5K (92.4% of the provider’s Medicare revenue). Nationally, the provider’s G2067 activity ranks #118 of 830 providers (86th percentile) and is described as typical/ unremarkable volume for that code, so its Medicare footprint is specialized but not nationally dominant.
Medicaid revenue is also concentrated but across residential and crisis service lines: the top three Medicaid codes (H0011, S9485, H0019) account for 53.2% of Medicaid revenue. These top drivers—H0011 (residential detox), S9485 (crisis intervention per diem), and H0019 (long-term residential per diem)—signal that more than half of Medicaid dollars flow from inpatient/residential detox and crisis stabilization services rather than exclusively outpatient care.
State-level competitive standing is strong on several high-revenue Medicaid codes. S9485 is an extreme outlier in the state (ranks #4 of 113, 97th percentile) and H0011 ranks #3 of 27 (92th percentile, notably above typical state volume); 90834 (psychotherapy) is also an extreme outlier (ranks #15 of 1617, 99th percentile). Collectively these ranks indicate the provider is a major regional player for crisis intervention, residential detox, and high-volume psychotherapy.
The code mix shows a broad service footprint spanning intensive addiction treatment, crisis services, and high-volume outpatient therapy. High-volume Medicaid codes include H0020 (methadone administration, 491.8K claims), 90834 (psychotherapy, 184.4K claims), and H0023 (behavioral health outreach, 133.3K claims), which together reflect concurrent delivery of medication-assisted treatment, outreach, and psychotherapy across multiple care settings. This suggests operational capability across both residential and community-based addiction and mental health services.
While Medicaid is the dominant revenue source, Medicare activity is tightly concentrated in OTP bundles and related methadone services (G2067, G2074, G2078), indicating the provider bills Medicare primarily for opioid treatment program services rather than the broader set of Medicaid-funded offerings. The Medicare billing pattern implies limited diversification into other Medicare-covered behavioral health services.
Revenue concentration in a small number of high-value codes creates both strategic strength and exposure: the top three Medicare codes generate 100.0% of Medicare revenue and the top three Medicaid codes generate 53.2% of Medicaid revenue. That concentration underscores that reimbursement changes, regulatory updates, or utilization shifts affecting OTP, residential detox, or crisis-intervention per diems could materially impact total revenue.
The provider has a long-established presence: NPI enumerated on 2005-11-11 (~21 years ago), supporting the interpretation that its large Medicaid volumes and specialized OTP services are the result of sustained operations rather than a short-term program. This tenure likely contributes to the provider’s high state rankings on core behavioral health and addiction-service codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 1,590 | $250 | $397.5K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services… | 110 | $200 | $21.3K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 300 | $40 | $11.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
54 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0011 | Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem | 18,770 | $1,540 | $29M |
| S9485 | Crisis intervention mental health services, per diem | 44,400 | $500 | $22.4M |
| 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 | 7,980 | $2,050 | $16.4M |
| 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… | 184,450 | $80 | $14.2M |
| H0023 | Alcohol and/or drug outreach | 133,280 | $50 | $7.1M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 491,850 | $10 | $6.4M |
| H2011 | Crisis intervention service, per 15 minutes | 33,860 | $150 | $5.2M |
| H0010 | Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient) | 1,720 | $2,640 | $4.5M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 27,070 | $140 | $3.8M |
| H2012 | Behavioral health day treatment, per hour | 48,290 | $70 | $3.3M |
Showing 1–10 of 54
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
54 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 8 | 40 | 26,400 | $10 | $9.7M |
| 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 | 32 | 80 | 5,200 | $370 | $8.4M |
| H0023 | Alcohol and/or drug outreach | 17 | 40 | 127,370 | $50 | $8.2M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 11 | 30 | 8,280 | $140 | $8M |
| H2015 | Comprehensive community support services, per 15 minutes | 60 | 150 | 7,770 | $140 | $4.8M |
| H0011 | Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem | 3 | 30 | 1,210 | $760 | $3.9M |
| H0010 | Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient) | 15 | 30 | 1,910 | $480 | $3.5M |
| S9485 | Crisis intervention mental health services, per diem | 4 | 110 | 1,250 | $540 | $3.2M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 65 | 290 | 3,680 | $150 | $2.9M |
| T2022 | Case management, per month | 63 | 80 | 7,230 | $50 | $2.6M |
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Other providers in the same ZIP code as Northeast Behavioral Health Corporation, ranked by combined Medicare and Medicaid revenue.
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