Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Jamaica Plain › NPI 1093856965
Agency

The Commonwealth of Massachusetts

The Commonwealth of Massachusetts was paid $4.84M by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is 87591, Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe — 24% of everything it billed.

33Billing provider infoTHE COMMONWEALTH OF MASSACHUSETTS
JAMAICA PLAIN, MA 02130
33aNPI1093856965assigned 02/12/2007
28Total paid$4.84M
24GClaims264,466
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Public Health or Welfare Agency providers in Massachusetts

Rank by total paid#6 of 64
Median peer was paid$6K
This provider vs. median839×

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$50K$100K$150K2018201920202021202220232024
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
201839,982$728K
201947,638$813K
202025,224$473K
202124,196$422K
202240,880$799K
202358,645$1.12M
2024incomplete27,901$481K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 24% 41,717 35,694 $1.16M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 22% 38,566 33,336 $1.07M
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 16% 35,946 35,413 $787K
83655 13% 56,208 56,025 $629K
86803 9.1% 35,956 35,420 $439K
86780 8.5% 35,775 34,305 $409K
87521 Neg quan hep c or qual rna 6.5% 10,769 10,576 $313K
86592 <1% 5,164 5,076 $20K
86593 <1% 1,202 1,172 $5K
0012A <1% 69 69 $2K
0011A <1% 77 77 $2K
0002A <1% 25 25 $1K
5 more codes
0001A <1% 14 $582.82
G0475 Hiv antigen/antibody, combination assay, screening <1% 1,383 $82.98
86702 <1% 134 $72.34
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 1,388 $49.01
86701 <1% 73 $31.36

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 officialROBERTS, CULLEN (CHIEF FINANCIAL OFFICER)
Parent organizationTHE COMMONWEALTH OF MASSACHUSETTS