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NPI 1518996354 · New Bedford, MA · Counselor
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High Point Treatment Center Inc. is a counselor provider located in New Bedford, Massachusetts. This profile covers 3 Medicare and 41 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 | High Point Treatment Center Inc. |
| Address | 72 Kilburn St |
| City | New Bedford |
| State | MA |
| ZIP | 02740 |
| Taxonomy | Counselor |
| NPI Enumerated | July 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $98.4M |
| Medicare | $516K |
Medicaid-dominant payer mix: this provider reports $98.4M in lifetime Medicaid revenue versus $516K in lifetime Medicare revenue, indicating the operation is effectively Medicaid-focused and that Medicaid drives the overwhelming share of its billing activity. The scale difference shows Medicaid is the primary commercial lever for the organization’s services while Medicare is a very small contributor to overall revenue.
High Medicare concentration in opioid treatment bundles: precomputed data show the top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, with G2067 alone contributing $494.4K (95.9% of Medicare revenue). That concentration and the code mix (G2067, G2074, G2078) point to Medicare activity narrowly centered on medication-assisted treatment (methadone dispensing and weekly MAT bundles and take-home supplies) rather than broader medical services.
Medicaid revenue driven by residential and per‑diem behavioral health services: the top Medicaid revenue drivers are H2036 ($19.9M, 20.3% of Medicaid revenue), H0019 ($10.8M, 11.0%), and 90834 ($9.2M, 9.4%), and the top 3 Medicaid codes by revenue account for 40.8% of this provider's total Medicaid revenue. This mix indicates a service footprint emphasizing alcohol/drug treatment per diems, long‑term residential behavioral health, and psychotherapy—consistent with a facility that operates residential and structured program-based addiction services.
State-level competitive strength on core addiction services: the provider ranks #1 of 4 in-state for H2036 (100th percentile) and ranks highly for residential and detox codes (H0010 #2 of 27 and H0011 #2 of 27, both 96th percentile), signaling it is a leading in‑state provider for per‑diem addiction treatment and inpatient detox services. Several other Medicaid codes also show above-typical state volume (e.g., 90834 at the 98th percentile and 99214 at the 98th percentile), reinforcing a strong statewide presence across both residential and outpatient behavioral health services.
Mixed national standing for Medicare MAT code: for G2067 the provider ranks #81 of 830 nationally (90th percentile), which places it above many peers on that specific Medicare MAT bundle but still within a broad peer group described as 'typical, unremarkable volume' for the code. Combined with the Medicare revenue concentration, this suggests the provider is a recognizable national participant on Medicare MAT billing but its Medicare footprint remains narrowly focused and modest in absolute dollar terms ($516K total Medicare revenue).
Service-line breadth within behavioral health and community supports: beyond residential and MAT bundles, the Medicaid code mix includes community behavioral health clinic per diems (T1040), comprehensive community support services (H2015, H2016), family training (T1027), and crisis/intervention codes (H2011, S9485). This pattern indicates the organization offers a continuum of services from crisis and community supports to long‑term residential care and outpatient psychotherapy, enabling multiple touchpoints for Medicaid populations.
Notable statistical outliers and high‑volume specialties: even where dollar share is smaller, some codes flag exceptional relative activity—90792 ranks #2 of 230 in-state (100th percentile; labeled an "extreme outlier") and 90834 ranks in the 98th percentile for the state. These labels indicate the provider bills certain diagnostic/psychiatric evaluation and psychotherapy services at volumes far above typical in-state peers, suggesting specialty capacity or a referral footprint for those services.
Long operational tenure consistent with established program: the provider’s NPI was enumerated on 2006-07-02 (~20 years ago), which aligns with a long-running operation able to develop the broad residential, detox, MAT, and outpatient service mix reflected in the Medicaid data. That tenure supports the interpretation of the provider as an established behavioral health and addiction services organization within its state market.
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… | 1,910 | $260 | $494.4K |
| 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… | 60 | $210 | $11.6K |
| 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 | 240 | $40 | $9.3K |
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.
41 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H2036 | Alcohol and/or other drug treatment program, per diem | 19,390 | $1,030 | $19.9M |
| 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 | 83,860 | $130 | $10.8M |
| 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… | 113,680 | $80 | $9.2M |
| H0010 | Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient) | 30,950 | $290 | $8.9M |
| H0011 | Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem | 20,270 | $410 | $8.3M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 637,030 | $10 | $8.3M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 31,540 | $160 | $5.1M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 20,050 | $230 | $4.7M |
| H2015 | Comprehensive community support services, per 15 minutes | 48,880 | $80 | $3.7M |
| H2016 | Comprehensive community support services, per diem | 158,930 | $20 | $2.9M |
Showing 1–10 of 41
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
41 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) | 7 | 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 | 8 | 80 | 5,200 | $370 | $8.4M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 10 | 30 | 8,280 | $140 | $8M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 1 | 10 | 3,640 | $1,120 | $7.9M |
| H2015 | Comprehensive community support services, per 15 minutes | 28 | 150 | 7,770 | $140 | $4.8M |
| H0011 | Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem | 2 | 30 | 1,210 | $760 | $3.9M |
| H0010 | Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient) | 2 | 30 | 1,910 | $480 | $3.5M |
| S9485 | Crisis intervention mental health services, per diem | 53 | 110 | 1,250 | $540 | $3.2M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 71 | 290 | 3,680 | $150 | $2.9M |
| T2022 | Case management, per month | 66 | 80 | 7,230 | $50 | $2.6M |
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Other providers in the same ZIP code as High Point Treatment Center Inc., ranked by combined Medicare and Medicaid revenue.
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