Agency
Elder Services of Cape Cod and the Islands
Elder Services of Cape Cod and the Islands was paid $86.59M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is G0156, Services of home health/hospice aide in home health or hospice settings, each 15 minutes — 63% of everything it billed.
33Billing provider infoELDER SERVICES OF CAPE COD AND THE ISLANDS
SOUTH DENNIS, MA 02660
SOUTH DENNIS, MA 02660
33aNPI1225159064assigned 04/02/2007
33bProvider typeCase Management Agency
28Total paid$86.59M
24GClaims509,077
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Massachusetts
Rank by total paid#34 of 139
Median peer was paid$11.53M
This provider vs. median7.5×
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 | 75,379 | $10.29M | |
| 2019 | 82,757 | $11.25M | |
| 2020 | 81,367 | $14.25M | |
| 2021 | 76,991 | $16.80M | |
| 2022 | 73,361 | $18.63M | |
| 2023 | 64,483 | $11.97M | |
| 2024incomplete | 54,739 | $3.41M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 63% | 30,845 | 7,555 | $54.98M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 12% | 127,724 | 25,517 | $10.07M |
| 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) | 11% | 41,930 | 6,785 | $9.35M |
| S5175 | Laundry service, external, professional; per order | 4.6% | 106,057 | 29,184 | $3.96M |
| S5170 | Home delivered meals, including preparation; per meal | 3.3% | 110,215 | 16,987 | $2.82M |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 2.4% | 20,183 | 6,434 | $2.05M |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 1.1% | 8,659 | 1,889 | $993K |
| S5120 | Chore services; per 15 minutes | <1% | 7,151 | 1,893 | $763K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 27,253 | 27,241 | $713K |
| S5121 | Chore services; per diem | <1% | 23,785 | 7,118 | $542K |
| A9279 | Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified | <1% | 2,622 | 2,618 | $114K |
| S5165 | Home modifications; per service | <1% | 789 | 747 | $88K |
11 more codes
| T2023 | Targeted case management; per month | <1% | 732 | $66K |
| S5125 | Attendant care at home, billed per 15 minutes | <1% | 68 | $34K |
| 96160 | <1% | 514 | $30K | |
| S5102 | Adult day care, billed per day | <1% | 37 | $8K |
| A0100 | Non-emergency taxi ride to a medical appointment | <1% | 18 | $7K |
| A9901 | Dme delivery, set up, and/or dispensing service component of another hcpcs code | <1% | 398 | $3K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 25 | $3K |
| S5131 | Homemaker service, nos; per diem | <1% | 30 | $2K |
| G9001 | Coordinated care fee, initial rate | <1% | 14 | $1K |
| S5160 | Emergency response system; installation and testing | <1% | 14 | $539.42 |
| G9002 | Coordinated care fee, maintenance rate | <1% | 14 | $7.00 |
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 officialSOKOLOSKI, JUDY (CHIEF FINANCIAL OFFICER)