Medicaid Provider Spending

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

SOUTH SHORE ELDER SERVICES INC

NPI: 1427179076 · BRAINTREE, MA 02184 · Case Management Agency · NPI assigned 04/02/2007

$60.64M
Total Medicaid Paid
825,620
Total Claims
189,460
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialFLYNN, EDWARD (EXECUTIVE DIRECTOR)
NPI Enumeration Date04/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 140,954 $10.68M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5130 Homemaker service, nos; per 15 minutes 167,964 30,618 $15.57M
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 25,640 5,050 $13.07M
T1019 Personal 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) 126,885 14,982 $11.11M
S5102 Day care services, adult; per diem 46,459 6,323 $7.80M
T2003 Non-emergency transportation; encounter/trip 42,275 6,036 $4.10M
S5170 Home delivered meals, including preparation; per meal 183,324 25,360 $3.92M
S5161 Emergency response system; service fee, per month (excludes installation and testing) 69,029 68,173 $1.73M
S5175 Laundry service, external, professional; per order 42,650 9,790 $1.26M
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) 94,546 10,924 $566K
S5101 Day care services, adult; per half day 3,645 683 $320K
S5135 Companion care, adult (e.g., iadl/adl); per 15 minutes 3,214 625 $307K
S5165 Home modifications; per service 1,639 1,628 $235K
T1013 Sign language or oral interpretive services, per 15 minutes 5,834 1,741 $190K
H0046 Mental health services, not otherwise specified 8,023 3,980 $127K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 817 744 $106K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 609 580 $64K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 594 378 $52K
G0175 Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present 601 361 $45K
S5160 Emergency response system; installation and testing 655 655 $24K
T2022 Case management, per month 471 471 $24K
S5125 Attendant care services; per 15 minutes 237 13 $10K
A0100 Non-emergency transportation; taxi 179 15 $7K
A9901 Dme delivery, set up, and/or dispensing service component of another hcpcs code 306 306 $3K
99339 12 12 $640.00
A9279 Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified 12 12 $349.95