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Commonwealth of Massachusetts

Community/Behavioral Health·Boston, MA·NPI: 1235255597Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $153.6M is at the 75th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-10(70 months)

Total Paid

$153.6M

$153,570,471

Total Claims

446K

Beneficiaries

113K

4.0 claims/patient

Avg Cost/Claim

$344

#698 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Commonwealth of Massachusetts is a Community/Behavioral Health provider based in Boston, MA. From the 2018–2024 period, this provider received $153.6M in Medicaid payments across 446K claims.

Why This Matters

This provider received $153.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,196 Medicaid beneficiaries for a full year at average per-enrollee costs.

30% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$26.6M
+2%
2019
$27.2M
+14%
2020
$30.9M
-10%
2021
$27.7M
-55%
2022
$12.5M
-20%
2023
$10.0M
+86%
2024
$18.7M

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 97% of total spending.

H2018Normal range

Psychosocial rehabilitation services, per diem

$148.2M

439K claims · 96.5%

Your Cost: $337.76/claim|Median: $392.63
0.9× median
H0019Normal range

Behavioral health; residential, per diem

$4.5M

7K claims · 2.9%

Your Cost: $653.55/claim|Median: $357.16
1.8× median
T2023Top 10%

Community transition, waiver; per service

$862K

807 claims · 0.6%

Your Cost: $1,068.54/claim|Median: $300.13
3.6× median