Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Springfield › NPI 1154779445
Physician

Curana Health of Massachusetts LLC

Curana Health of Massachusetts LLC was paid $2.59M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 53% of everything it billed.

33Billing provider infoCURANA HEALTH OF MASSACHUSETTS LLC
SPRINGFIELD, MA 01151
33aNPI1154779445assigned 05/27/2016
28Total paid$2.59M
24GClaims276,506
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Geriatric Medicine (Internal Medicine) Physician providers in Massachusetts

Rank by total paid#1 of 32
Median peer was paid$9K
This provider vs. median275×

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.

Entity ProliferationAuthorized official HOWARD, NICOLE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20185,576$76K
20198,461$115K
202022,673$425K
202126,903$501K
202229,446$537K
202392,057$417K
2024incomplete91,390$516K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99309 Subsequent nursing facility care, per day, low to moderate complexity 53% 87,308 46,389 $1.38M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 14% 15,951 5,659 $358K
99308 Subsequent nursing facility care, per day, straightforward 13% 26,267 19,537 $333K
99310 Prolong nursin fac eval 15m 6.8% 6,714 5,585 $177K
99306 Prolong nursin fac eval 15m 4.8% 4,416 4,250 $125K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.9% 2,316 1,377 $75K
99223 Prolong inpt eval add15 m 2.2% 918 904 $58K
99305 2.1% 2,277 2,236 $54K
99307 <1% 872 655 $7K
99239 Hospital discharge day management, more than 30 minutes <1% 153 150 $4K
99316 <1% 146 145 $4K
99222 Initial hospital care, per day, moderate complexity <1% 123 121 $3K
30 more codes
99497 <1% 483 $3K
99349 <1% 32 $2K
99318 <1% 122 $2K
99315 <1% 46 $1K
99325 <1% 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) <1% 87 $214.63
99335 <1% 19 $192.49
3077F 0% 445 $0.00
1160F 0% 35,181 $0.00
1159F 0% 35,166 $0.00
3078F 0% 21,914 $0.00
1494F 0% 297 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 1,754 $0.00
99334 0% 17 $0.00
1124F 0% 107 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 90 $0.00
4274F 0% 13 $0.00
3074F 0% 14,280 $0.00
1126F 0% 3,419 $0.00
3044F 0% 339 $0.00
3075F 0% 3,010 $0.00
3008F 0% 2,200 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 379 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 0% 5,610 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 2,064 $0.00
3079F 0% 604 $0.00
1123F 0% 495 $0.00
1125F 0% 217 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 0% 580 $0.00
1170F 0% 63 $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 officialHOWARD, NICOLE (SR VP OF ADMINISTRATIVE SERVICES)
Same official

Other billing entities under HOWARD, NICOLE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.