Medicaid Provider Spending

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

CURANA HEALTH OF MASSACHUSETTS LLC

NPI: 1154779445 · SPRINGFIELD, MA 01151 · Geriatric Medicine (Internal Medicine) Physician · NPI assigned 05/27/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HOWARD, NICOLE controls 20+ related entities in our dataset. Read more

$2.59M
Total Medicaid Paid
276,506
Total Claims
170,990
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOWARD, NICOLE (SR VP OF ADMINISTRATIVE SERVICES)
NPI Enumeration Date05/27/2016

Related Entities

Other providers sharing the same authorized official: HOWARD, NICOLE

ProviderCityStateTotal Paid
CURANA HEALTH OF SOUTH CAROLINA PC NORTH CHARLESTON SC $6.39M
CURANA HEALTH OF LOUISIANA LLC BATON ROUGE LA $4.87M
PHYSICIANS ELDERCARE PA DURHAM NC $2.57M
CURANA HEALTH OF MISSOURI-KANSAS LLC LEES SUMMIT MO $1.45M
CURANA HEALTH OF MISSISSIPPI LLC FLOWOOD MS $1.35M
KENTWOOD FAMILY CLINIC LLC KENTWOOD LA $1.19M
CURANA HEALTH MEDICAL GROUP LLC AUSTIN TX $778K
CURANA HEALTH OF NEW MEXICO LLC ESPANOLA NM $771K
CURANA HEALTH OF NORTH CAROLINA PLLC DURHAM NC $740K
CURANA HEALTH OF NEVADA PLLC RENO NV $696K
CURANA HEALTH OF ARKANSAS LLC BENTONVILLE AR $522K
CURANA HEALTH OF IOWA PLLC OSCEOLA IA $425K
CURANA HEALTH OF TENNESSEE LLC MEMPHIS TN $318K
CURANA HEALTH OF ALABAMA LLC BIRMINGHAM AL $185K
CURANA HEALTH OF INDIANA LLC CORYDON IN $176K
CH SPECIALTY SERVICES NV REQUEIJO PC CARSON CITY NV $125K
CH SPECIALTY SERVICES TX PLLC AUSTIN TX $101K
CH SPECIALTY SERVICES MO LLC LEES SUMMIT MO $93K
CURANA HEALTH OF WEST VIRGINIA LLC MARTINSBURG WV $88K
CH SPECIALTY SERVICES MA PC SPRINGFIELD MA $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,576 $76K
2019 8,461 $115K
2020 22,673 $425K
2021 26,903 $501K
2022 29,446 $537K
2023 92,057 $417K
2024 91,390 $516K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 87,308 46,389 $1.38M
99232 Subsequent hospital care, per day, moderate complexity 15,951 5,659 $358K
99308 Subsequent nursing facility care, per day, straightforward 26,267 19,537 $333K
99310 Prolong nursin fac eval 15m 6,714 5,585 $177K
99306 Prolong nursin fac eval 15m 4,416 4,250 $125K
99233 Prolong inpt eval add15 m 2,316 1,377 $75K
99223 Prolong inpt eval add15 m 918 904 $58K
99305 2,277 2,236 $54K
99307 872 655 $7K
99239 Hospital discharge day management, more than 30 minutes 153 150 $4K
99316 146 145 $4K
99222 Initial hospital care, per day, moderate complexity 123 121 $3K
99497 483 476 $3K
99349 32 32 $2K
99318 122 122 $2K
99315 46 46 $1K
99325 12 12 $258.55
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes) 87 81 $214.63
99335 19 19 $192.49
3077F 445 382 $0.00
1160F 35,181 21,451 $0.00
1159F 35,166 21,448 $0.00
3078F 21,914 14,336 $0.00
1494F 297 274 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 1,754 1,146 $0.00
99334 17 17 $0.00
1124F 107 105 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 90 75 $0.00
4274F 13 12 $0.00
3074F 14,280 9,959 $0.00
1126F 3,419 2,308 $0.00
3044F 339 257 $0.00
3075F 3,010 2,578 $0.00
3008F 2,200 1,419 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 379 349 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 5,610 3,977 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 2,064 1,314 $0.00
3079F 604 534 $0.00
1123F 495 489 $0.00
1125F 217 144 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 580 564 $0.00
1170F 63 56 $0.00