COMMONWEALTH OF MASSACHUSETTS
NPI: 1497870943
· TEWKSBURY, MA 01876
· Community/Behavioral Health Agency
· NPI assigned 03/20/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code H2018 with only 3 total codes billed. Highly concentrated billing profile.
$212.83M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
123,301 |
$35.93M |
| 2019 |
116,655 |
$37.87M |
| 2020 |
133,979 |
$39.49M |
| 2021 |
135,764 |
$42.61M |
| 2022 |
57,333 |
$20.50M |
| 2023 |
50,010 |
$14.80M |
| 2024 |
59,644 |
$21.63M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2018 |
Psychosocial rehabilitation services, per diem |
654,922 |
134,081 |
$199.10M |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
21,063 |
2,555 |
$11.61M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
701 |
312 |
$2.11M |