Agency
Tri-Valley, INC
Tri-Valley, INC was paid $26.49M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is S5130, homemaker services, billed per 15 minutes — 33% of everything it billed.
33Billing provider infoTRI-VALLEY, INC
DUDLEY, MA 01571
DUDLEY, MA 01571
33aNPI1023135258assigned 03/23/2007
33bProvider typeCase Management Agency
28Total paid$26.49M
24GClaims356,717
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Massachusetts
Rank by total paid#52 of 139
Median peer was paid$11.53M
This provider vs. median2.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 63,444 | $4.17M | |
| 2019 | 61,254 | $4.22M | |
| 2020 | 49,354 | $3.39M | |
| 2021 | 45,054 | $3.79M | |
| 2022 | 46,586 | $4.18M | |
| 2023 | 51,746 | $3.94M | |
| 2024incomplete | 39,279 | $2.81M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 33% | 84,286 | 16,155 | $8.70M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 18% | 59,342 | 8,475 | $4.76M |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 14% | 8,878 | 1,808 | $3.71M |
| S5170 | Home delivered meals, including preparation; per meal | 7.2% | 84,884 | 12,692 | $1.92M |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 6.6% | 16,986 | 3,891 | $1.74M |
| S5140 | Foster care, adult; per diem | 5.4% | 6,200 | 625 | $1.43M |
| T2022 | Case management, per month | 4.1% | 20,704 | 19,056 | $1.07M |
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 3.8% | 6,307 | 919 | $1.00M |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 3.0% | 32,460 | 32,321 | $784K |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 1.4% | 5,662 | 1,059 | $372K |
| S5175 | Laundry service, external, professional; per order | <1% | 9,057 | 2,040 | $239K |
| T1020 | Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | <1% | 10,725 | 3,835 | $199K |
12 more codes
| G9001 | Coordinated care fee, initial rate | <1% | 1,879 | $124K |
| S5120 | Chore services; per 15 minutes | <1% | 2,125 | $119K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 724 | $85K |
| S5165 | Home modifications; per service | <1% | 464 | $77K |
| H0046 | Mental health services, not otherwise specified | <1% | 1,584 | $63K |
| A9279 | Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified | <1% | 1,709 | $53K |
| A0425 | Ground mileage, per statute mile | <1% | 447 | $18K |
| G9002 | Coordinated care fee, maintenance rate | <1% | 1,942 | $8K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 46 | $7K |
| 96160 | <1% | 141 | $5K | |
| S5160 | Emergency response system; installation and testing | <1% | 135 | $5K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 30 | $4K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTRAVINSKI, MARILYN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Tri-Valley, INC | Dudley, MA | $30.83M |
| Tri-Valley, INC | Dudley, MA | $6.74M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.