Prospect Hill Consultants INC.
Prospect Hill Consultants INC. was paid $338K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
BOURNE, MA 02532
Next to other Clinical Social Worker providers in Massachusetts
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,925 | $60K | |
| 2019 | 1,725 | $47K | |
| 2020 | 1,475 | $42K | |
| 2021 | 1,790 | $59K | |
| 2022 | 2,228 | $72K | |
| 2023 | 946 | $37K | |
| 2024incomplete | 278 | $21K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 46% | 3,130 | 2,637 | $155K |
| 90836 | 31% | 2,957 | 2,503 | $105K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 19% | 3,322 | 1,402 | $63K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.6% | 853 | 283 | $16K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 105 | 105 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Marc Community Resources, INC | Mesa, AZ | $80.48M |
| Peninsula Dental, LLC | Millsboro, DE | $12.29M |
| Bear-Glasgow Dental, LLC | Newark, DE | $8.19M |
| Hays Medical Center, INC. | Hays, KS | $2.26M |
| Carolinas Anson Healthcare INC. | Wadesboro, NC | $1.08M |
| Magnolia School District 14 | Magnolia, AR | $551K |
| Moore Foot & Ankle Specialists, PA | Asheville, NC | $190K |
| Dinuba Medical Clinic | Dinuba, CA | $40K |
| DRS. Moore and Moore Dental Associates | Charleston, WV | $16K |
| Cyclone Healthcare INC. | Ames, IA | $10K |
| Hays Medical Center, INC. | Hays, KS | $1K |
| Walker County Hospital Corporation | Huntsville, TX | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.