Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › WORCESTER › PRESTIGE ADULT FOSTER CARE LLC.

PRESTIGE ADULT FOSTER CARE LLC.

NPI: 1184017980 · WORCESTER, MA 01608 · Foster Care Agency · NPI assigned 03/18/2015

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code S5140 with only 2 total codes billed. Highly concentrated billing profile.

$54.36M
Total Medicaid Paid
539,891
Total Claims
22,976
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKAGUO, HIGHNESS (CEO)
NPI Enumeration Date03/18/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 180,767 $18.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5140 Foster care, adult; per diem 539,265 22,351 $54.19M
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs 626 625 $167K