Agency
Elder Services of the Merrimack Valley, INC.
Elder Services of the Merrimack Valley, INC. was paid $86.29M by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is S5130, homemaker services, billed per 15 minutes — 35% of everything it billed.
33Billing provider infoELDER SERVICES OF THE MERRIMACK VALLEY, INC.
LAWRENCE, MA 01843
LAWRENCE, MA 01843
33aNPI1174642490assigned 03/28/2007
33bProvider typeHome Health Agency
28Total paid$86.29M
24GClaims2,778,217
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Home Health Agency providers in Massachusetts
Rank by total paid#6 of 299
Median peer was paid$2.39M
This provider vs. median36×
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 | 321,273 | $10.35M | |
| 2019 | 428,453 | $12.07M | |
| 2020 | 386,565 | $10.23M | |
| 2021 | 402,574 | $11.20M | |
| 2022 | 398,463 | $11.98M | |
| 2023 | 433,608 | $15.47M | |
| 2024incomplete | 407,281 | $14.99M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 35% | 539,635 | 43,491 | $30.00M |
| 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) | 33% | 600,350 | 42,216 | $28.16M |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 13% | 324,190 | 31,238 | $10.87M |
| T2022 | Case management, per month | 4.7% | 71,655 | 71,098 | $4.03M |
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 4.3% | 67,265 | 4,649 | $3.72M |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 2.7% | 88,052 | 88,047 | $2.34M |
| S5170 | Home delivered meals, including preparation; per meal | 2.6% | 241,452 | 12,648 | $2.27M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 2.4% | 50,309 | 3,643 | $2.10M |
| 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) | 1.7% | 777,617 | 27,255 | $1.45M |
| S5165 | Home modifications; per service | <1% | 3,962 | 3,954 | $726K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 1,560 | 1,371 | $186K |
| S5101 | Day care services, adult; per half day | <1% | 4,229 | 524 | $169K |
6 more codes
| S5175 | Laundry service, external, professional; per order | <1% | 5,282 | $159K |
| 99339 | <1% | 1,676 | $75K | |
| S5160 | Emergency response system; installation and testing | <1% | 644 | $25K |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | <1% | 55 | $15K |
| 99509 | Home visit for assistance with activities of daily living and personal care | <1% | 232 | $12K |
| A0425 | Ground mileage, per statute mile | 0% | 52 | $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 officialDISTEFANO, ROSANNE (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Agespan,inc. | Lawrence, MA | $6.39M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.