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 Shore Mental Health Center, Inc. (NPI 1770528317)

Field	Value
Entity Type	Organization
Organization	South Shore Mental Health Center, Inc.
Address	54 Miller St
City	Quincy
State	MA
ZIP	02169
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	June 18, 2006

Payer Source	Total Paid
Medicaid	$84.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	260,320	$80	$19.5M
H2019	Therapeutic behavioral services, per 15 minutes	86,320	$180	$15.8M
S9485	Crisis intervention mental health services, per diem	18,830	$530	$10M
H2012	Behavioral health day treatment, per hour	90,300	$70	$6.7M
T1040	Medicaid certified community behavioral health clinic services, per diem	30,320	$220	$6.6M
T1027	Family training and counseling for child development, per 15 minutes	55,950	$110	$6.4M
H2015	Comprehensive community support services, per 15 minutes	47,230	$110	$5.2M
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…	37,620	$60	$2.3M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	7,480	$300	$2.2M
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…	20,540	$80	$1.7M

Showing 1–10 of 36

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 Shore Mental Health Center, Inc. — 10 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	29	150	7,770	$140	$4.8M
S9485	Crisis intervention mental health services, per diem	12	110	1,250	$540	$3.2M
H2019	Therapeutic behavioral services, per 15 minutes	14	290	3,680	$150	$2.9M
T2022	Case management, per month	64	80	7,230	$50	$2.6M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	16	50	3,060	$240	$2.4M
T1027	Family training and counseling for child development, per 15 minutes	11	130	4,300	$110	$2.1M
H2011	Crisis intervention service, per 15 minutes	18	40	3,970	$140	$2M
T1040	Medicaid certified community behavioral health clinic services, per diem	12	170	950	$200	$1.8M
T1015	Clinic visit/encounter, all-inclusive	250	550	90	$140	$1.5M
H2020	Therapeutic behavioral services, per diem	1	10	24,830	$50	$1.3M

Showing 1–10 of 36

Related Providers

Other providers that share a Tax Identification Number (TIN) with South Shore Mental Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Antonio Costa	MA	Mental Health Counselor	$74.7K	$0
Cyril Sabin	RI	Psychiatric/Mental Health Nurse Practitioner	$19.3K	$0

Nearby Providers

Other providers in the same ZIP code as South Shore 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	$447.5M
Nextmargin Corporation	MA	In Home Supportive Care Agency	$0	$72.3M
Bay State Community Services, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.4M
Caring Bees Healthcare Inc.	MA	Home Health Agency	$0	$20.8M
Fallon Service, Inc.	MA	Land Ambulance	$0	$11.8M
Anodyne Homemaker Services Corp	MA	Home Health Agency	$0	$11.6M
Rainbow Adhc Of Quincy LLC	MA	Adult Day Care Clinic/Center	$0	$10.3M
Commonwealth Of Massachusetts-dmh	MA	Case Management Agency	$0	$9.4M
Allied Home Health Care, Inc.	MA	Home Health Agency	$0	$7.9M
Advantage Imaging Solutions, LLC	MA	Sonography Radiologic Technologist	$44.7K	$3.4M

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

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

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References