Agency
Commonwealth of Massachusetts
Commonwealth of Massachusetts was paid $153.57M by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is H2018, Psychosocial rehabilitation services, per diem — 97% of everything it billed.
33Billing provider infoCOMMONWEALTH OF MASSACHUSETTS
BOSTON, MA 02118
BOSTON, MA 02118
33aNPI1235255597assigned 03/21/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$153.57M
24GClaims446,495
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Massachusetts
Rank by total paid#5 of 169
Median peer was paid$1.37M
This provider vs. median112×
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 Concentration97% of spending on code H2018 with only 3 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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 51,869 | $18.70M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2018 | Psychosocial rehabilitation services, per diem | 97% | 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 | 2.9% | 6,882 | 1,677 | $4.50M |
| T2023 | Targeted case management; per month | <1% | 807 | 807 | $862K |
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 officialGUINEY, KEVIN (AREA OPERATIONS MANAGER)