Clinic
Hearth, INC.
Hearth, INC. was paid $1.93M by Medicaid between Jan 2018 and Aug 2023, across 1 billing code. Its largest line is H0043, Supported housing, per diem — 100% of everything it billed.
33Billing provider infoHEARTH, INC.
BOSTON, MA 02118
BOSTON, MA 02118
33aNPI1043336357assigned 03/21/2007
33bProvider typeAdult Day Care Clinic/Center
28Total paid$1.93M
24GClaims9,670
24DCodes billed1
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Adult Day Care Clinic/Center providers in Massachusetts
Rank by total paid#99 of 149
Median peer was paid$4.26M
This provider vs. median0.5×
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 H0043 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 | 503 | $592K | |
| 2019 | 872 | $410K | |
| 2020 | 910 | $332K | |
| 2021 | 852 | $247K | |
| 2022 | 3,227 | $210K | |
| 2023 | 3,306 | $141K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0043 | Supported housing, per diem | 100% | 9,670 | 1,668 | $1.93M |
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 officialCOLE, ANDREW (VP OF FINANCE)