Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FALLON COMMUNITY HEALTH PLAN

NPI: 1376696674 · WORCESTER, MA 01606 · PACE Provider Organization · NPI assigned 01/19/2007

$92K
Total Medicaid Paid
4,238
Total Claims
4,072
Beneficiaries
6
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialGOHEEN, CHARLES (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date01/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,768 $36K
2019 1,998 $39K
2020 387 $17K
2022 46 $0.00
2023 39 $642.51

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99308 Subsequent nursing facility care, per day, straightforward 2,753 2,652 $62K
99309 Subsequent nursing facility care, per day, low to moderate complexity 515 494 $14K
99307 817 773 $13K
99318 68 68 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $642.51
99385 73 73 $0.00