Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOMERVILLE CAMBRIDGE ELDER SERVICES

NPI: 1154455020 · SOMERVILLE, MA 02143 · Case Management Agency · NPI assigned 03/15/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code S5140 with only 3 total codes billed. Highly concentrated billing profile.

$27.05M
Total Medicaid Paid
138,498
Total Claims
12,278
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialO'NEILL, JOHN (EXECUTIVE DIRECTOR)
NPI Enumeration Date03/15/2007

Related Entities

Other providers sharing the same authorized official: O'NEILL, JOHN

ProviderCityStateTotal Paid
SOMERVILLE CAMBRIDGE ELDER SERVICES SOMERVILLE MA $90.18M
BAYVIEW HOSPICE LLC BAY VILLAGE OH $4.44M
LAKEWOOD SENIOR CAMPUS, LLC LAKEWOOD OH $2.29M
SOMERVILLE CAMBRIDGE ELDER SERVICES SOMERVILLE MA $1.42M
SOMERVILLE CAMBRIDGE ELDER SERVICES SOMERVILLE MA $33K
JOHN O'NEILL, LICSW, PLLC SPOKANE WA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,447 $4.34M
2019 2,368 $4.27M
2020 2,451 $4.13M
2021 2,157 $3.95M
2022 45,417 $3.83M
2023 47,000 $3.66M
2024 36,658 $2.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5140 Foster care, adult; per diem 138,262 12,042 $27.05M
G9001 Coordinated care fee, initial rate 118 118 $6K
G9002 Coordinated care fee, maintenance rate 118 118 $152.50