Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

HDC Care Solutions, LLC

HDC Care Solutions, LLC was paid $8.01M by Medicaid between Jun 2022 and Dec 2024, across 41 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 56% of everything it billed.

33Billing provider infoHDC CARE SOLUTIONS, LLC
FRAMINGHAM, MA 01702
33aNPI1033861349assigned 01/19/2022
28Total paid$8.01M
24GClaims399,423
24DCodes billed41
24AFirst – last monthJun 2022 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Massachusetts

Rank by total paid#8 of 1,270
Median peer was paid$8K
This provider vs. median959×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
202268,462$1.18M
2023162,627$3.20M
2024incomplete168,334$3.63M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99309 Subsequent nursing facility care, per day, low to moderate complexity 56% 211,951 87,325 $4.51M
99308 Subsequent nursing facility care, per day, straightforward 27% 125,317 58,551 $2.13M
99310 Prolong nursin fac eval 15m 14% 32,974 18,262 $1.11M
99307 2.3% 17,465 9,860 $184K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 444 219 $13K
99497 <1% 1,608 1,101 $11K
99349 <1% 521 237 $11K
99316 <1% 274 213 $8K
99306 Prolong nursin fac eval 15m <1% 229 183 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 126 79 $6K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 198 107 $5K
99490 Ccm add 20min <1% 700 485 $4K
29 more codes
99305 <1% 167 $4K
99356 <1% 519 $3K
99203 Doctor's office visit, new patient (routine) <1% 26 $3K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 239 $1K
99336 <1% 50 $1K
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) <1% 132 $902.76
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 210 $599.45
99315 <1% 40 $570.34
99498 <1% 25 $292.39
99358 Prolong nursin fac eval 15m <1% 114 $280.51
99348 <1% 52 $246.02
99406 <1% 69 $158.05
99337 <1% 22 $86.83
99439 <1% 22 $81.13
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 2,052 $0.06
0518F 0% 975 $0.00
1100F 0% 1,108 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 259 $0.00
G9916 Functional status performed once in the last 12 months 0% 94 $0.00
1124F 0% 17 $0.00
1123F 0% 586 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 0% 281 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 298 $0.00
G8756 No documentation of blood pressure measurement, reason not given 0% 26 $0.00
G8535 Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status 0% 84 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 18 $0.00
G9918 Functional status not performed, reason not otherwise specified 0% 20 $0.00
G8734 Elder maltreatment screen documented as negative, follow-up is not required 0% 76 $0.00
99357 0% 35 $0.00

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 officialBAKER, DANIEL (PRESIDENT)
Same official

Other billing entities under BAKER, DANIEL

Full network →
ProviderLocationPaid
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.