Nursing facility
Community First Adult Foster Care
Community First Adult Foster Care was paid $2.35M by Medicaid between Sep 2022 and Nov 2024, across 2 billing codes. Its largest line is S5140, Foster care, adult; per diem — 100% of everything it billed.
33Billing provider infoCOMMUNITY FIRST ADULT FOSTER CARE
WORCESTER, MA 01606
WORCESTER, MA 01606
33aNPI1194466920assigned 04/05/2022
33bProvider typeAdult Care Home Facility
28Total paid$2.35M
24GClaims24,618
24DCodes billed2
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers
Next to other Adult Care Home Facility providers in Massachusetts
Rank by total paid#28 of 38
Median peer was paid$8.45M
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2022 | 184 | $18K | |
| 2023 | 6,609 | $628K | |
| 2024incomplete | 17,825 | $1.71M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5140 | Foster care, adult; per diem | 100% | 24,605 | 1,005 | $2.35M |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | <1% | 13 | 13 | $3K |
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 officialINNIS, KERI (CEO)