Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Start INC

Start INC was paid $82K by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is 97140, Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) — 32% of everything it billed.

33Billing provider infoSTART INC
CONCORD, MA 01742
33aNPI1346245255assigned 06/16/2005
28Total paid$82K
24GClaims9,144
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Physical Therapy Clinic/Center providers in Massachusetts

Rank by total paid#13 of 28
Median peer was paid$46K
This provider vs. median1.8×

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 DUGGAN, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
20182,795$17K
20191,241$10K
2020690$7K
20211,302$11K
2022934$14K
20231,881$21K
2024incomplete301$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 32% 2,675 813 $26K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 28% 2,261 810 $23K
97530 Therapeutic activities, direct patient contact, each 15 minutes 18% 1,785 589 $14K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 15% 1,722 539 $12K
97150 Therapeutic procedure(s), group (2 or more individuals) 4.8% 364 145 $4K
97162 <1% 13 12 $778.46
97010 <1% 193 68 $683.76
97535 Self-care/home management training, each 15 minutes <1% 16 12 $196.68
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 53 50 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 62 54 $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 officialDUGGAN, JOHN (VICE PRESIDENT)
Same official

Other billing entities under DUGGAN, JOHN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.