Agency
Commonwealth of Massachusetts-Dmh
Commonwealth of Massachusetts-Dmh was paid $7.77M by Medicaid between Jan 2018 and Oct 2024, across 1 billing code. Its largest line is T2023, Targeted case management; per month — 100% of everything it billed.
33Billing provider infoCOMMONWEALTH OF MASSACHUSETTS-DMH
WESTBOROUGH, MA 01581
WESTBOROUGH, MA 01581
33aNPI1144340845assigned 03/29/2007
33bProvider typeCase Management Agency
28Total paid$7.77M
24GClaims6,843
24DCodes billed1
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Case Management Agency providers in Massachusetts
Rank by total paid#84 of 139
Median peer was paid$11.53M
This provider vs. median0.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code T2023 with only 1 total codes billed. Highly concentrated billing profile.
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 | 1,090 | $1.16M | |
| 2019 | 1,249 | $1.32M | |
| 2020 | 1,264 | $1.37M | |
| 2021 | 1,186 | $1.40M | |
| 2022 | 559 | $710K | |
| 2023 | 593 | $722K | |
| 2024incomplete | 902 | $1.08M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2023 | Targeted case management; per month | 100% | 6,843 | 6,843 | $7.77M |
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 officialRAMBARRAN, OSWALD (SITE DIRECTOR)