COMMONWEALTH OF MASSACHUSETTS
NPI: 1104943885
· BOSTON, MA 02114
· Case Management Agency
· NPI assigned 03/26/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2023 with only 1 total codes billed. Highly concentrated billing profile.
$10.40M
Total Medicaid Paid
Provider Details
| Authorized Official | SIMON, ROS (SITE DIRECTOR) |
| NPI Enumeration Date | 03/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,227 |
$1.31M |
| 2019 |
1,773 |
$1.87M |
| 2020 |
1,649 |
$1.79M |
| 2021 |
1,604 |
$1.90M |
| 2022 |
813 |
$1.03M |
| 2023 |
820 |
$1.00M |
| 2024 |
1,249 |
$1.50M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
9,135 |
9,135 |
$10.40M |