Susanna Sylvia , LICSW
Counselor โข Fall River, MA
386 Stanley St
Fall River, MA 027206009
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on February 17, 2015; this date does not establish years in practice.
-
Published CMS data list 133 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018. Published rows only; this is not a quality measure.
-
Published Part B service records, 2018:
- 90834 โ Psychotherapy: 121 service units.
- 90832 โ Psychotherapy: 12 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
-
Medicare Part B services went from 121 in 2017 to 133 in 2018.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2018.
Practice Location & Contact Primary Location
386 Stanley St
Fall River, MA 027206009
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Counselor: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $8,380 in 2018
The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018.
Paid by Medicare
About $6,236 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Fall River and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Susanna Sylvia are from 2018.
266 active clinicians are listed under Counselor with a practice address in Fall River, MA (8,995 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fall River
2.3% of these 266 clinicians have the CMS telehealth indicator.
3.8% of these 266 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services increased 10% from 121 in 2017 to 133 in 2018.
- 2017: 121
- 2018: 133
-
Medicare-allowed amount
Medicare-allowed amount decreased 28% from $11,601 in 2017 to $8,380 in 2018.
- 2017: $11,601
- 2018: $8,380
-
Paid by Medicare
Paid by Medicare decreased 31% from $9,023 in 2017 to $6,236 in 2018.
- 2017: $9,023
- 2018: $6,236
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
90834
Psychotherapy, 45 minutes
|
121 | 12 | $120.00 | $64.44 |
|
90832
Psychotherapy, 30 minutes
|
12 | 12 | $70.00 | $48.53 |
Source: CMS Part B by Provider and Service, 2018; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Psychiatric/Mental Health
Social Worker - Clinical
Licensed Independent Clinical Social Worker
Nurse Practitioner - Psychiatric/Mental Health
Certified Nurse Practitioner
Social Worker - Clinical
Licensed Independent Clinical Social Worker, LADCI
Nurse Practitioner - Psychiatric/Mental Health
Psychiatric-Mental Health Nurse Practitioner
Social Worker - Clinical
Licensed Independent Clinical Social Worker, Certified Alcohol and Drug Counselor
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 386 STANLEY ST, FALL RIVER, MA 027206009 (Tel: 5086795222)
Registered at 386 STANLEY ST, FALL RIVER, MA 027206009 (Tel: 5086795222)
Recorded as SUSANNA SYLVIA, LICSW
Counselor (license number reported to NPPES: MA 120255)
NPI status registered as active in NPPES database
Registered at 386 STANLEY ST, FALL RIVER, MA 027206009 (Tel: 5086795222)
Registered at 386 STANLEY ST, FALL RIVER, MA 027206009 (Tel: 5086795222)
Recorded as SUSANNA SYLVIA, LCSW
Counselor (license number reported to NPPES: MA 219599)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Counselors in Fall River
- Jordan Dangelo
- Elizabeth Moniz
- Rui Lima, MA, LSW
- Ashley Couto
- Owen Tidwell, LICSW
- Stephen Mathioudakis
Mailing Address
386 Stanley St
Fall River, MA 027206009
Phone: 5086795222