Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Leominster › NPI 1366420663
Agency

Umass Memorial Health Care, INC.

Umass Memorial Health Care, INC. was paid $1.27M by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 79% of everything it billed.

33Billing provider infoUMASS MEMORIAL HEALTH CARE, INC.
LEOMINSTER, MA 01453
33aNPI1366420663assigned 01/06/2006
33bProvider typeHome Health Agency
28Total paid$1.27M
24GClaims25,890
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Home Health Agency providers in Massachusetts

Rank by total paid#170 of 299
Median peer was paid$2.39M
This provider vs. median0.5×

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

$0$20K$40K2018201920202021202220232024
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
20186,523$263K
20195,046$151K
20204,350$201K
20213,280$132K
20222,349$120K
20232,824$215K
2024incomplete1,518$189K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 79% 20,262 3,899 $1.01M
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 19% 5,142 1,642 $244K
G0157 Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes 1.1% 265 77 $14K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes <1% 221 80 $6K

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 officialST. GERMAIN, ARTHUR (EXECUTIVE DIRECTOR)
Parent organizationUMASS MEMORIAL HEALTH CARE, INC
Same official

Other billing entities under ST. GERMAIN, ARTHUR

Full network →
ProviderLocationPaid
Umass Memorial Health Care, INC.Leominster, MA$8K

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