Commonwealth of Massachusetts-Dmh

Commonwealth of Massachusetts-Dmh was paid $7.33M by Medicaid between Jan 2018 and Oct 2024, across 1 billing code. Its largest line is T2023, Targeted case management; per month — 100% of everything it billed.

33Billing provider infoCOMMONWEALTH OF MASSACHUSETTS-DMH
ARLINGTON, MA 02476

33aNPI1043330731assigned 03/29/2007

33bProvider typeCase Management Agency

28Total paid$7.33M

24GClaims6,465

24DCodes billed1

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Case Management Agency providers in Massachusetts

Rank by total paid#88 of 139

Median peer was paid$11.53M

This provider vs. median0.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2023 with only 1 total codes billed. Highly concentrated billing profile.

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	1,269	$1.35M
2019	1,063	$1.12M
2020	1,144	$1.24M
2021	1,201	$1.42M
2022	612	$777K
2023	502	$607K
2024incomplete	674	$809K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2023	Targeted case management; per month	100%	6,465	6,465	$7.33M

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 officialMUSTO, LYNNE (SITE DIRECTOR)