Depatment of Mental Health

Depatment of Mental Health was paid $14.23M by Medicaid between Jan 2018 and Oct 2024, across 1 billing code. Its largest line is T2023, Targeted case management; per month — 100% of everything it billed.

33Billing provider infoDEPATMENT OF MENTAL HEALTH
SPRINGFIELD, MA 01105

33aNPI1245458017assigned 04/24/2007

33bProvider typeCase Management Agency

28Total paid$14.23M

24GClaims12,564

24DCodes billed1

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Case Management Agency providers in Massachusetts

Rank by total paid#65 of 139

Median peer was paid$11.53M

This provider vs. median1.2×

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 T2023 with only 1 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	2,328	$2.48M
2019	2,341	$2.47M
2020	2,237	$2.42M
2021	2,192	$2.61M
2022	1,068	$1.35M
2023	928	$1.13M
2024incomplete	1,470	$1.77M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2023	Targeted case management; per month	100%	12,564	12,564	$14.23M

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 officialTOSADO, JOSE (SITE DIRECTOR)