Medicaid Provider Spending

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

BERKSHIRE MEDICAL CENTER, INC

NPI: 1275086746 · PITTSFIELD, MA 01201 · Substance Abuse Rehabilitation Facility · NPI assigned 08/01/2016

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0010 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official RODOWICZ, DARLENE controls 11+ related entities in our dataset. Read more

$15.35M
Total Medicaid Paid
28,352
Total Claims
3,536
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRODOWICZ, DARLENE (CFO)
NPI Enumeration Date08/01/2016

Related Entities

Other providers sharing the same authorized official: RODOWICZ, DARLENE

ProviderCityStateTotal Paid
BERKSHIRE MEDICAL CENTER, INC PITTSFIELD MA $150.13M
FAIRVIEW HOSPITAL GREAT BARRINGTON MA $17.67M
BERKSHIRE FACULTY SERVICES INC PITTSFIELD MA $13.13M
FAIRVIEW HOSPITAL NORTH ADAMS MA $3.50M
BERKSHIRE MEDICAL CENTER, INC. PITTSFIELD MA $3.10M
FAIRVIEW HOSPITAL WILLIAMSTOWN MA $2.82M
FAIRVIEW HOSPITAL GREAT BARRINGTON MA $1.95M
BERKSHIRE MEDICAL CENTER, INC NORTH ADAMS MA $639K
NORTH ADAMS REGIONAL HOSPITAL CORPORATION NORTH ADAMS MA $306K
BHS URGENT CARE CENTER PITTSFIELD MA $126K
BERKSHIRE MEDICAL CENTER, INC. PITTSFIELD MA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,147 $2.53M
2019 5,699 $2.72M
2020 187 $93K
2021 1,074 $637K
2022 5,059 $3.22M
2023 5,136 $3.18M
2024 5,050 $2.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) 27,920 3,178 $15.35M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 213 162 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 219 196 $0.00