DEPARTMENT OF MENTAL HEALTH
NPI: 1063630838
· WORCESTER, MA 01604
· Community/Behavioral Health Agency
· NPI assigned 04/24/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code H2018 with only 3 total codes billed. Highly concentrated billing profile.
$168.78M
Total Medicaid Paid
Provider Details
| Authorized Official | SCOTT, ANN (AREA OFFICE MANAGER) |
| NPI Enumeration Date | 04/24/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
74,038 |
$20.23M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2018 |
Psychosocial rehabilitation services, per diem |
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 |
20,924 |
2,549 |
$10.91M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
559 |
247 |
$1.60M |