Agency
Eliot Community Human Services
Eliot Community Human Services was paid $0.00 by Medicaid between Jul 2018 and Nov 2024, across 11 billing codes. Its largest line is G9011, Coordinated care fee, risk adjusted maintenance, level 5 — 0% of everything it billed.
33Billing provider infoELIOT COMMUNITY HUMAN SERVICES
SAUGUS, MA 01906
SAUGUS, MA 01906
33aNPI1124516356assigned 04/24/2018
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$0.00
24GClaims328,923
24DCodes billed11
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Massachusetts
Rank by total paid#166 of 169
Median peer was paid$1.37M
This provider vs. median0.0×
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
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 | 15,793 | $0.00 | |
| 2019 | 38,862 | $0.00 | |
| 2020 | 45,379 | $0.00 | |
| 2021 | 58,868 | $0.00 | |
| 2022 | 59,094 | $0.00 | |
| 2023 | 60,419 | $0.00 | |
| 2024incomplete | 50,508 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9011 | Coordinated care fee, risk adjusted maintenance, level 5 | 0% | 46,257 | 34,067 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,737 | 3,521 | $0.00 |
| G9004 | Coordinated care fee, risk adjusted low, initial | 0% | 103 | 89 | $0.00 |
| T2038 | Community transition, waiver; per service | 0% | 11,153 | 6,489 | $0.00 |
| T2024 | Service assessment/plan of care development, waiver | 0% | 19,087 | 17,430 | $0.00 |
| G9920 | Screening performed and negative | 0% | 1,102 | 1,100 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 2,754 | 2,749 | $0.00 |
| G9005 | Coordinated care fee, risk adjusted maintenance | 0% | 193,255 | 124,064 | $0.00 |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 35,395 | 16,748 | $0.00 |
| G9006 | Coordinated care fee, home monitoring | 0% | 1,045 | 986 | $0.00 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 15,035 | 14,118 | $0.00 |
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 officialWALTON, LEONA (BILLING SUPPORT ANALYST)
Parent organizationELIOT COMMUNITY HUMAN SERVICES
| Provider | Location | Paid |
|---|---|---|
| Eliot Community Human Services | Lexington, MA | $1.08M |
| Eliot Community Human Services, INC. | Lexington, MA | $308K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.