Agency
South Shore Elder Services INC
South Shore Elder Services INC was paid $60.64M by Medicaid between Jan 2018 and Oct 2024, across 25 billing codes. Its largest line is S5130, homemaker services, billed per 15 minutes — 26% of everything it billed.
33Billing provider infoSOUTH SHORE ELDER SERVICES INC
BRAINTREE, MA 02184
BRAINTREE, MA 02184
33aNPI1427179076assigned 04/02/2007
33bProvider typeCase Management Agency
28Total paid$60.64M
24GClaims825,620
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Case Management Agency providers in Massachusetts
Rank by total paid#38 of 139
Median peer was paid$11.53M
This provider vs. median5.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 108,811 | $6.77M | |
| 2019 | 95,391 | $7.45M | |
| 2020 | 89,934 | $6.91M | |
| 2021 | 82,915 | $8.20M | |
| 2022 | 103,535 | $8.80M | |
| 2023 | 204,080 | $11.84M | |
| 2024incomplete | 140,954 | $10.68M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 26% | 167,964 | 30,618 | $15.57M |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 22% | 25,640 | 5,050 | $13.07M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, 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) | 18% | 126,885 | 14,982 | $11.11M |
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 13% | 46,459 | 6,323 | $7.80M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 6.8% | 42,275 | 6,036 | $4.10M |
| S5170 | Home delivered meals, including preparation; per meal | 6.5% | 183,324 | 25,360 | $3.92M |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 2.9% | 69,029 | 68,173 | $1.73M |
| S5175 | Laundry service, external, professional; per order | 2.1% | 42,650 | 9,790 | $1.26M |
| T1020 | Help at home with daily living, billed per dayPersonal 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) | <1% | 94,546 | 10,924 | $566K |
| S5101 | Day care services, adult; per half day | <1% | 3,645 | 683 | $320K |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | <1% | 3,214 | 625 | $307K |
| S5165 | Home modifications; per service | <1% | 1,639 | 1,628 | $235K |
13 more codes
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 5,834 | $190K |
| H0046 | Mental health services, not otherwise specified | <1% | 8,023 | $127K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 817 | $106K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 609 | $64K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 594 | $52K |
| G0175 | Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present | <1% | 601 | $45K |
| S5160 | Emergency response system; installation and testing | <1% | 655 | $24K |
| T2022 | Case management, per month | <1% | 471 | $24K |
| S5125 | Attendant care at home, billed per 15 minutes | <1% | 237 | $10K |
| A0100 | Non-emergency taxi ride to a medical appointment | <1% | 179 | $7K |
| A9901 | Dme delivery, set up, and/or dispensing service component of another hcpcs code | <1% | 306 | $3K |
| 99339 | <1% | 12 | $640.00 | |
| A9279 | Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified | <1% | 12 | $349.95 |
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 officialFLYNN, EDWARD (EXECUTIVE DIRECTOR)