Agency
Prestige Adult Foster Care LLC.
Prestige Adult Foster Care LLC. was paid $54.36M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is S5140, Foster care, adult; per diem — 100% of everything it billed.
33Billing provider infoPRESTIGE ADULT FOSTER CARE LLC.
WORCESTER, MA 01608
WORCESTER, MA 01608
33aNPI1184017980assigned 03/18/2015
33bProvider typeFoster Care Agency
28Total paid$54.36M
24GClaims539,891
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Foster Care Agency providers in Massachusetts
Rank by total paid#2 of 35
Median peer was paid$2.96M
This provider vs. median18×
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.
Single-Code Concentration100% of spending on code S5140 with only 2 total codes billed. Highly concentrated billing profile.
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 | 24,714 | $1.91M | |
| 2019 | 35,975 | $2.78M | |
| 2020 | 45,909 | $3.51M | |
| 2021 | 54,889 | $4.38M | |
| 2022 | 82,622 | $7.57M | |
| 2023 | 115,015 | $15.60M | |
| 2024incomplete | 180,767 | $18.60M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5140 | Foster care, adult; per diem | 100% | 539,265 | 22,351 | $54.19M |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | <1% | 626 | 625 | $167K |
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 officialKAGUO, HIGHNESS (CEO)