COMMUNITY FIRST ADULT FOSTER CARE
NPI: 1194466920
· WORCESTER, MA 01606
· Adult Care Home Facility
· NPI assigned 04/05/2022
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.
$2.35M
Total Medicaid Paid
Provider Details
| Authorized Official | INNIS, KERI (CEO) |
| NPI Enumeration Date | 04/05/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
184 |
$18K |
| 2023 |
6,609 |
$628K |
| 2024 |
17,825 |
$1.71M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5140 |
Foster care, adult; per diem |
24,605 |
1,005 |
$2.35M |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
13 |
13 |
$3K |