Agency
Specialized Community Care, INC
Specialized Community Care, INC was paid $60.90M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 67% of everything it billed.
33Billing provider infoSPECIALIZED COMMUNITY CARE, INC
MIDDLEBURY, VT 05753
MIDDLEBURY, VT 05753
33aNPI1275651267assigned 03/27/2007
33bProvider typeCase Management Agency
28Total paid$60.90M
24GClaims64,146
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Vermont
Rank by total paid#1 of 11
Median peer was paid$361K
This provider vs. median168×
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.
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 | 2,177 | $7.82M | |
| 2019 | 2,467 | $8.32M | |
| 2020 | 1,421 | $8.47M | |
| 2021 | 2,049 | $8.57M | |
| 2022 | 18,158 | $8.99M | |
| 2023 | 24,448 | $8.94M | |
| 2024incomplete | 13,426 | $9.81M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 67% | 3,811 | 3,660 | $40.53M |
| H2022 | Community-based wrap-around services, per diem | 33% | 5,555 | 2,113 | $20.37M |
| S5140 | Foster care, adult; per diem | 0% | 1,166 | 1,068 | $0.00 |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 0% | 9,437 | 771 | $0.00 |
| S5151 | Unskilled respite care, not hospice; per diem | 0% | 1,448 | 320 | $0.00 |
| S0215 | Non-emergency transportation; mileage, per mile | 0% | 547 | 397 | $0.00 |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 0% | 633 | 349 | $0.00 |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 0% | 10,061 | 670 | $0.00 |
| T1016 | Case management, each 15 minutes | 0% | 31,488 | 2,034 | $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 officialHILL, SCOTT (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Hill-Serve LLC | Grand Blanc, MI | $315K |
| Scott T Hill Family Dentistry, PLLC | Cabot, AR | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.