Compared to Community/Behavioral Health Peers
Total spending distribution among 218 providers in this specialty
This provider's total spending of $168.8M is at the 75th percentile among 218 Community/Behavioral Health providers.
Total Paid
$168.8M
$168,780,836
Total Claims
623K
Beneficiaries
94K
6.7 claims/patient
Avg Cost/Claim
$271
#590 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Department of Mental Health is a Community/Behavioral Health provider based in Worcester, MA. From the 2018–2024 period, this provider received $168.8M in Medicaid payments across 623K claims.
Important Context
- ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.
Why This Matters
This provider received $168.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,097 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 3 distinct procedure codes. The top code (H2018 (Psychosocial rehabilitation services, per diem)) accounts for 93% of total spending.
$156.3M
602K claims
$259.62
$392.63
Psychosocial rehabilitation services, per diem
$156.3M
602K claims · 92.6%
$10.9M
21K claims
$521.46
$357.16
Behavioral health; residential, per diem
$10.9M
21K claims · 6.5%
$1.6M
559 claims
$2,853.48
$467.51
Behavioral health; short-term residential, per diem
$1.6M
559 claims · 0.9%
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