Health and Social Services Consortium, INC.

Health and Social Services Consortium, INC. was paid $31.20M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is G0156, Services of home health/hospice aide in home health or hospice settings, each 15 minutes — 57% of everything it billed.

33Billing provider infoHEALTH AND SOCIAL SERVICES CONSORTIUM, INC.
SHARON, MA 02067

33aNPI1154547941assigned 04/18/2007

33bProvider typeCase Management Agency

28Total paid$31.20M

24GClaims242,373

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in Massachusetts

Rank by total paid#48 of 139

Median peer was paid$11.53M

This provider vs. median2.7×

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.

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	20,329	$5.04M
2019	36,237	$4.98M
2020	38,056	$5.35M
2021	34,628	$5.23M
2022	40,463	$5.51M
2023	39,463	$3.49M
2024incomplete	33,197	$1.59M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	57%	21,661	5,034	$17.91M
S5130	Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes	15%	44,669	8,111	$4.72M
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)	10%	18,708	2,357	$3.19M
S5170	Home delivered meals, including preparation; per meal	5.6%	90,732	9,301	$1.75M
S5102	Adult day care, billed per dayDay care services, adult; per diem	5.2%	9,173	1,293	$1.62M
T2003	Non-emergency transportation, per tripNon-emergency transportation; encounter/trip	2.7%	8,497	1,219	$846K
S5175	Laundry service, external, professional; per order	1.5%	15,141	3,731	$466K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	1.1%	12,919	12,841	$328K
G0299	Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes	<1%	2,370	1,304	$209K
S5101	Day care services, adult; per half day	<1%	358	111	$32K
T1020	Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)	<1%	16,629	671	$32K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	<1%	395	75	$32K

7 more codes

A9279	Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified	<1%	402	$20K
H0046	Mental health services, not otherwise specified	<1%	391	$12K
G9001	Coordinated care fee, initial rate	<1%	128	$10K
S5165	Home modifications; per service	<1%	13	$7K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	<1%	33	$3K
T2022	Case management, per month	<1%	26	$1K
G9002	Coordinated care fee, maintenance rate	<1%	128	$100.80

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 officialMCDERMOTT, MARY (EXECUTIVE DIRECTOR)