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
Provider Details
| Authorized Official | GAW, MEGAN (MA PROGRAM DIRECTOR) |
| NPI Enumeration Date | 05/10/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total 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 |