Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › DORCHESTER › PRIORITY PROFESSIONAL CARE, LLC

PRIORITY PROFESSIONAL CARE, LLC

NPI: 1346486529 · DORCHESTER, MA 02122 · Clinic/Center · NPI assigned 12/18/2008

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

99% of spending on code S5140 with only 3 total codes billed. Highly concentrated billing profile.

$31.91M
Total Medicaid Paid
385,465
Total Claims
13,005
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCANTON, MARIE (CEO)
NPI Enumeration Date12/18/2008

Related Entities

Other providers sharing the same authorized official: CANTON, MARIE

ProviderCityStateTotal Paid
PRIORITY PROFESSIONAL CARE LAWRENCE MA $491K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 51,673 $4.14M
2019 56,655 $4.40M
2020 56,057 $4.36M
2021 53,009 $4.38M
2022 55,206 $4.78M
2023 56,965 $4.96M
2024 55,900 $4.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5140 Foster care, adult; per diem 383,019 12,717 $31.56M
H2019 Therapeutic behavioral services, per 15 minutes 1,995 229 $288K
T1027 Family training and counseling for child development, per 15 minutes 451 59 $55K