Nursing facility
Sancta Maria Hospital, INC.
Sancta Maria Hospital, INC. was paid $1.47M by Medicaid between Jan 2019 and Nov 2024, across 10 billing codes. Its largest line is S0340, Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage — 75% of everything it billed.
33Billing provider infoSANCTA MARIA HOSPITAL, INC.
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
33aNPI1144328691assigned 09/20/2006
33bProvider typeSkilled Nursing Facility
28Total paid$1.47M
24GClaims60,958
24DCodes billed10
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Skilled Nursing Facility providers in Massachusetts
Rank by total paid#21 of 400
Median peer was paid$58K
This provider vs. median25×
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 | |
|---|---|---|---|
| 2019 | 3,450 | $29K | |
| 2020 | 6,966 | $48K | |
| 2021 | 15,950 | $108K | |
| 2022 | 9,759 | $165K | |
| 2023 | 4,815 | $541K | |
| 2024incomplete | 20,018 | $575K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0340 | Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage | 75% | 9,868 | 735 | $1.09M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 15% | 20,566 | 1,031 | $213K |
| 92526 | 5.4% | 4,385 | 382 | $80K | |
| 97535 | Self-care/home management training, each 15 minutes | 2.2% | 3,840 | 500 | $33K |
| 97116 | 2.0% | 4,962 | 419 | $30K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.0% | 2,136 | 455 | $15K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 15,073 | 833 | $4K |
| 91322 | 0% | 32 | 32 | $0.00 | |
| 90653 | 0% | 32 | 32 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 64 | 64 | $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 officialGOMES, THOMAS (ADMINISTRATOR)