Department of Mental Health

Department of Mental Health was paid $168.78M by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is H2018, Psychosocial rehabilitation services, per diem — 93% of everything it billed.

33Billing provider infoDEPARTMENT OF MENTAL HEALTH
WORCESTER, MA 01604

33aNPI1063630838assigned 04/24/2007

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$168.78M

24GClaims623,421

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in Massachusetts

Rank by total paid#4 of 169

Median peer was paid$1.37M

This provider vs. median124×

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 Concentration93% of spending on code H2018 with only 3 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	107,475	$27.76M
2019	99,837	$28.08M
2020	123,415	$33.83M
2021	115,420	$32.50M
2022	53,287	$15.12M
2023	49,949	$11.26M
2024incomplete	74,038	$20.23M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2018	Psychosocial rehabilitation services, per diem	93%	601,938	90,884	$156.27M
H0019	Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	6.5%	20,924	2,549	$10.91M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	<1%	559	247	$1.60M

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 officialSCOTT, ANN (AREA OFFICE MANAGER)