Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Adcare Hospital of Worcester, INC.

Adcare Hospital of Worcester, INC. was paid $13.18M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is H0015, Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education — 46% of everything it billed.

33Billing provider infoADCARE HOSPITAL OF WORCESTER, INC.
WORCESTER, MA 01605
33aNPI1134281280assigned 12/15/2006
28Total paid$13.18M
24GClaims218,254
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Massachusetts

Rank by total paid#40 of 66
Median peer was paid$29.11M
This provider vs. median0.5×

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$200K$400K2018201920202021202220232024
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
201852,324$3.51M
201943,125$2.61M
202030,571$1.75M
202136,496$1.97M
202232,846$1.90M
202316,365$985K
2024incomplete6,527$448K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 46% 73,080 11,409 $6.11M
90853 Group psychotherapy (other than of a multiple-family group) 16% 77,742 18,703 $2.13M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 15% 26,130 15,019 $1.93M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 9.8% 29,154 17,119 $1.29M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 7.4% 8,800 8,738 $972K
H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) 4.7% 410 397 $626K
H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) <1% 53 51 $102K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,809 1,623 $14K
90847 Family psychotherapy with the patient present, 50 minutes <1% 28 25 $2K
G0008 Administration of influenza virus vaccine 0% 16 16 $0.00
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 0% 32 32 $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 officialBUIVYDAS, ROMAS (FACILITY CEO)