Medicaid Provider Spending

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

SOMERVILLE CAMBRIDGE ELDER SERVICES

NPI: 1508990490 · SOMERVILLE, MA 02143 · Case Management Agency · NPI assigned 03/15/2007

$90.18M
Total Medicaid Paid
236,420
Total Claims
61,102
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialO'NEILL, JOHN (EXECUTIVE DIRECTOR)
NPI Enumeration Date03/15/2007

Related Entities

Other providers sharing the same authorized official: O'NEILL, JOHN

ProviderCityStateTotal Paid
SOMERVILLE CAMBRIDGE ELDER SERVICES SOMERVILLE MA $27.05M
BAYVIEW HOSPICE LLC BAY VILLAGE OH $4.44M
LAKEWOOD SENIOR CAMPUS, LLC LAKEWOOD OH $2.29M
SOMERVILLE CAMBRIDGE ELDER SERVICES SOMERVILLE MA $1.42M
SOMERVILLE CAMBRIDGE ELDER SERVICES SOMERVILLE MA $33K
JOHN O'NEILL, LICSW, PLLC SPOKANE WA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36,750 $16.73M
2019 40,707 $17.96M
2020 37,655 $15.88M
2021 35,670 $15.39M
2022 34,740 $14.07M
2023 30,348 $7.91M
2024 20,550 $2.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 8,335 3,585 $36.47M
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) 32,885 7,146 $30.64M
S5140 Foster care, adult; per diem 5,323 4,047 $9.83M
S5130 Homemaker service, nos; per 15 minutes 50,424 9,364 $6.75M
S5170 Home delivered meals, including preparation; per meal 92,414 16,734 $3.45M
S5135 Companion care, adult (e.g., iadl/adl); per 15 minutes 9,707 1,632 $1.23M
S5120 Chore services; per 15 minutes 3,200 1,036 $438K
T2003 Non-emergency transportation; encounter/trip 6,778 1,925 $361K
S5175 Laundry service, external, professional; per order 11,380 2,505 $289K
S5161 Emergency response system; service fee, per month (excludes installation and testing) 8,568 8,566 $208K
S5165 Home modifications; per service 1,108 1,073 $206K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 1,162 416 $104K
H0046 Mental health services, not otherwise specified 2,759 1,356 $47K
S5125 Attendant care services; per 15 minutes 26 12 $44K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 301 272 $40K
S5121 Chore services; per diem 998 381 $37K
G9001 Coordinated care fee, initial rate 507 507 $30K
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) 38 38 $2K
G9002 Coordinated care fee, maintenance rate 507 507 $385.24