Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

Whaler's Cove Assisted Living

Whaler's Cove Assisted Living was paid $6.90M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is H0043, Supported housing, per diem — 100% of everything it billed.

33Billing provider infoWHALER'S COVE ASSISTED LIVING
NEW BEDFORD, MA 02746
33aNPI1295862423assigned 02/27/2007
33bProvider typeAssisted Living Facility
28Total paid$6.90M
24GClaims34,465
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Assisted Living Facility providers in Massachusetts

Rank by total paid#2 of 32
Median peer was paid$935K
This provider vs. median7.4×

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.

Single-Code Concentration100% of spending on code H0043 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20181,945$980K
20191,902$962K
20201,946$982K
20212,017$1.07M
20228,225$1.04M
202311,159$976K
2024incomplete7,271$892K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0043 Supported housing, per diem 100% 34,465 5,663 $6.90M

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 officialSOUSA, LAURA (EXECUTIVE DIRECTOR)