Clinic
Healthcare Enterprises LLC
Healthcare Enterprises LLC was paid $614K by Medicaid between Oct 2018 and Nov 2024, across 7 billing codes. Its largest line is 64721, — 89% of everything it billed.
33Billing provider infoHEALTHCARE ENTERPRISES LLC
SHREWSBURY, MA 01545
SHREWSBURY, MA 01545
33aNPI1265931653assigned 02/12/2018
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$614K
24GClaims5,156
24DCodes billed7
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Massachusetts
Rank by total paid#9 of 35
Median peer was paid$210K
This provider vs. median2.9×
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.
Entity ProliferationAuthorized official DELMORE, KRISTEN controls 20+ related entities in our dataset. Read more
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 | 12 | $0.00 | |
| 2019 | 307 | $82K | |
| 2020 | 963 | $66K | |
| 2021 | 1,864 | $84K | |
| 2022 | 1,181 | $149K | |
| 2023 | 478 | $125K | |
| 2024incomplete | 351 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 64721 | 89% | 1,154 | 1,132 | $547K | |
| 26055 | 7.6% | 170 | 129 | $47K | |
| 29881 | 2.9% | 24 | 24 | $18K | |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | <1% | 208 | 207 | $977.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | <1% | 453 | 447 | $307.26 |
| G8916 | Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time | 0% | 1,167 | 1,161 | $0.00 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 1,980 | 1,964 | $0.00 |
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 officialDELMORE, KRISTEN (CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.