DODGE PARK LLC
NPI: 1104017961
· WORCESTER, MA 01606
· Adult Care Home Facility
· NPI assigned 08/07/2007
$2.12M
Total Medicaid Paid
Provider Details
| Authorized Official | HERLINGER, BEN (MEMBER/MANAGER) |
| NPI Enumeration Date | 08/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
253 |
$308K |
| 2019 |
218 |
$264K |
| 2020 |
206 |
$250K |
| 2021 |
273 |
$334K |
| 2022 |
246 |
$296K |
| 2023 |
289 |
$347K |
| 2024 |
264 |
$319K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0043 |
Supported housing, per diem |
1,749 |
1,749 |
$2.12M |