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.

Bay Coast Behavioral, LLC (NPI 1184963993)

Field	Value
Entity Type	Organization
Organization	Bay Coast Behavioral, LLC
Address	170 Pleasant St Ste 100
City	Fall River
State	MA
ZIP	02721
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	February 14, 2013

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	33,450	$180	$6.1M
H2019	Therapeutic behavioral services, per 15 minutes	27,880	$180	$4.9M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	17,640	$110	$2M
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	4,930	$80	$414K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	4,610	$90	$401.2K
H2012	Behavioral health day treatment, per hour	1,100	$190	$206.6K
H0031	Mental health assessment, by non-physician	1,130	$180	$202.6K
H0032	Mental health service plan development by non-physician	910	$170	$157.6K
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…	900	$90	$82.3K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	610	$130	$78.9K

Showing 1–10 of 22

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

Bay Coast Behavioral, LLC — 1 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2014	Skills training and development, per 15 minutes	58	190	21,080	$110	$3M
H2019	Therapeutic behavioral services, per 15 minutes	55	290	3,680	$150	$2.9M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	140	150	1,270	$220	$845K
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…	683	1,620	580	$80	$599.6K
H2012	Behavioral health day treatment, per hour	47	110	840	$70	$575.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	29	1,020	460	$100	$293.7K
H0032	Mental health service plan development by non-physician	58	160	430	$180	$269.5K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	41	230	470	$60	$221.1K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	132	140	410	$210	$213.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	425	5,040	200	$70	$209.5K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Bay Coast Behavioral, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steward St. Annes Hospital Corporation	MA	General Acute Care Hospital	$0	$82.8M
Mass Care Link, Inc.	MA	Foster Care Agency	$0	$43.3M
Prima Care, PC	MA	Clinic/Center	$0	$32.2M
Bay State Physical Therapy Of Randolph Inc	MA	Physical Therapist	$0	$14.7M
People, Incorporated	MA	Early Intervention Provider Agency	$0	$14.6M
Dental Dreams LLC	MA	General Practice Dentistry	$0	$6.6M
Raju Singla	MA	Internal Medicine Physician	$632.7K	$0
Mary Goncalo	MA	Psychiatric/Mental Health Registered Nurse	$81.6K	$538.5K
Linsey Philip	MA	Infectious Disease Physician	$450.9K	$0
Aamir Ahmad	MA	Diagnostic Radiology Physician	$342.4K	$33.1K

Bay Coast Behavioral, LLC — Billing Profile & Reimbursement Data

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Bay Coast Behavioral, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References