Medicaid Provider Spending

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

ADVOCATES, INC.

NPI: 1376795781 · LEXINGTON, MA 02420 · Physical Disabilities Residential Treatment Facility · NPI assigned 10/16/2008

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

100% of spending on code T1020 with only 1 total codes billed. Highly concentrated billing profile.

$2.57M
Total Medicaid Paid
11,821
Total Claims
396
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNEAL, KEITH (CFO)
NPI Enumeration Date10/16/2008

Related Entities

Other providers sharing the same authorized official: NEAL, KEITH

ProviderCityStateTotal Paid
ADVOCATES, INC. FRAMINGHAM MA $83.98M
ADVOCATES, INC. MARLBOROUGH MA $48.82M
ADVOCATES, INC. FRAMINGHAM MA $22.41M
ADVOCATES, INC WORCESTER MA $6.80M
ADVOCATES, INC. WOBURN MA $4.81M
ADVOCATES, INC PEABODY MA $4.50M
ADVOCATES INC HUDSON MA $595K
ADVOCATES, INC WHITINSVILLE MA $126K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,352 $903K
2019 1,805 $375K
2021 706 $161K
2022 714 $163K
2023 1,066 $244K
2024 3,178 $727K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1020 Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 11,821 396 $2.57M