Agency
Springwell
Springwell was paid $153.84M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 34% of everything it billed.
33Billing provider infoSPRINGWELL
WATERTOWN, MA 02472
WATERTOWN, MA 02472
33aNPI1184758310assigned 03/16/2007
33bProvider typeCase Management Agency
28Total paid$153.84M
24GClaims512,436
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Massachusetts
Rank by total paid#29 of 139
Median peer was paid$11.53M
This provider vs. median13×
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 | 53,143 | $17.15M | |
| 2019 | 72,222 | $22.05M | |
| 2020 | 66,260 | $23.21M | |
| 2021 | 67,172 | $27.52M | |
| 2022 | 74,477 | $31.50M | |
| 2023 | 96,587 | $24.23M | |
| 2024incomplete | 82,575 | $8.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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) | 34% | 91,536 | 22,543 | $52.04M |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 28% | 17,386 | 5,994 | $43.26M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 26% | 124,255 | 29,207 | $39.92M |
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 4.2% | 34,980 | 5,148 | $6.43M |
| S5170 | Home delivered meals, including preparation; per meal | 2.6% | 141,490 | 19,762 | $4.04M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 2.1% | 31,920 | 5,323 | $3.21M |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 1.2% | 5,664 | 1,390 | $1.80M |
| S5175 | Laundry service, external, professional; per order | <1% | 22,502 | 5,955 | $973K |
| S5120 | Chore services; per 15 minutes | <1% | 5,851 | 1,795 | $710K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 22,005 | 21,854 | $543K |
| S5101 | Day care services, adult; per half day | <1% | 4,107 | 624 | $281K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 713 | 709 | $115K |
12 more codes
| S5165 | Home modifications; per service | <1% | 462 | $86K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 855 | $80K |
| H0046 | Mental health services, not otherwise specified | <1% | 2,440 | $72K |
| G9001 | Coordinated care fee, initial rate | <1% | 1,000 | $65K |
| T1020 | Help at home with daily living, billed per day | <1% | 1,303 | $64K |
| S5121 | Chore services; per diem | <1% | 1,636 | $49K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 317 | $38K |
| A9279 | Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified | <1% | 552 | $22K |
| T2022 | Case management, per month | <1% | 324 | $19K |
| S5160 | Emergency response system; installation and testing | <1% | 122 | $4K |
| 96160 | <1% | 12 | $950.00 | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 1,004 | $750.94 |
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 officialDONELLON, KARA (DIRECTOR OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Springwell, INC | Watertown, MA | $38.59M |
| Springwell | Watertown, MA | $553K |
| Springwell | Watertown, MA | $104K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.