COMMONWEALTH OF MASSACHUSETTS
NPI: 1235255597
· BOSTON, MA 02118
· Community/Behavioral Health Agency
· NPI assigned 03/21/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code H2018 with only 3 total codes billed. Highly concentrated billing profile.
$153.57M
Total Medicaid Paid
Provider Details
| Authorized Official | GUINEY, KEVIN (AREA OPERATIONS MANAGER) |
| NPI Enumeration Date | 03/21/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
83,562 |
$26.61M |
| 2019 |
75,167 |
$27.15M |
| 2020 |
90,183 |
$30.85M |
| 2021 |
79,106 |
$27.75M |
| 2022 |
33,051 |
$12.49M |
| 2023 |
33,557 |
$10.02M |
| 2024 |
51,869 |
$18.70M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2018 |
Psychosocial rehabilitation services, per diem |
438,806 |
110,035 |
$148.21M |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
6,882 |
1,677 |
$4.50M |
| T2023 |
Targeted case management; per month |
807 |
807 |
$862K |