Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ENTYRE CARE MASSACHUSETTS INC.

NPI: 1245675776 · BOSTON, MA 02110 · Home Health Agency · NPI assigned 05/10/2013

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.

$5.19M
Total Medicaid Paid
60,944
Total Claims
2,143
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAW, MEGAN (MA PROGRAM DIRECTOR)
NPI Enumeration Date05/10/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,047 $391K
2019 6,562 $505K
2020 7,958 $631K
2021 7,195 $627K
2022 8,351 $722K
2023 11,559 $1.03M
2024 14,272 $1.28M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5140 Foster care, adult; per diem 60,898 2,097 $5.18M
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs 46 46 $12K