Agency
Highland Valley Elder Services, INC
Highland Valley Elder Services, INC was paid $17.05M by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is S5130, homemaker services, billed per 15 minutes — 46% of everything it billed.
33Billing provider infoHIGHLAND VALLEY ELDER SERVICES, INC
FLORENCE, MA 01062
FLORENCE, MA 01062
33aNPI1457476962assigned 03/21/2007
33bProvider typeCase Management Agency
28Total paid$17.05M
24GClaims139,023
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Case Management Agency providers in Massachusetts
Rank by total paid#63 of 139
Median peer was paid$11.53M
This provider vs. median1.5×
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 | 22,455 | $2.79M | |
| 2019 | 20,878 | $2.72M | |
| 2020 | 20,967 | $2.81M | |
| 2021 | 22,965 | $3.31M | |
| 2022 | 24,863 | $3.10M | |
| 2023 | 17,461 | $1.92M | |
| 2024incomplete | 9,434 | $388K |
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 | 46% | 39,344 | 7,427 | $7.82M |
| 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) | 27% | 27,773 | 5,006 | $4.68M |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 13% | 5,015 | 1,237 | $2.23M |
| S5170 | Home delivered meals, including preparation; per meal | 10% | 57,624 | 10,190 | $1.72M |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 2.0% | 4,518 | 1,980 | $337K |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | <1% | 150 | 49 | $90K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 3,122 | 3,119 | $83K |
| S5165 | Home modifications; per service | <1% | 137 | 137 | $38K |
| H0046 | Mental health services, not otherwise specified | <1% | 747 | 743 | $29K |
| S5175 | Laundry service, external, professional; per order | <1% | 497 | 174 | $17K |
| S5120 | Chore services; per 15 minutes | <1% | 57 | 12 | $7K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 39 | 39 | $4K |
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 officialGALLANT, ROBERT (EXECUTIVE DIRECTOR)