Agency
Elder Services of Worcester Area, INC
Elder Services of Worcester Area, INC was paid $11.14M by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is T2022, Case management, per month — 27% of everything it billed.
33Billing provider infoELDER SERVICES OF WORCESTER AREA, INC
WORCESTER, MA 01602
WORCESTER, MA 01602
33aNPI1568771004assigned 10/01/2010
33bProvider typeCase Management Agency
28Total paid$11.14M
24GClaims396,273
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Case Management Agency providers in Massachusetts
Rank by total paid#72 of 139
Median peer was paid$11.53M
This provider vs. median1.0×
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 | 42,722 | $1.84M | |
| 2019 | 69,291 | $2.04M | |
| 2020 | 60,356 | $1.60M | |
| 2021 | 59,441 | $1.46M | |
| 2022 | 52,542 | $1.24M | |
| 2023 | 60,122 | $1.54M | |
| 2024incomplete | 51,799 | $1.40M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2022 | Case management, per month | 27% | 58,358 | 53,678 | $2.99M |
| 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) | 22% | 60,216 | 5,086 | $2.47M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 13% | 22,466 | 3,616 | $1.48M |
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 9.5% | 15,966 | 1,279 | $1.06M |
| 99456 | 6.7% | 4,345 | 4,340 | $748K | |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 6.4% | 28,307 | 28,307 | $712K |
| S5170 | Home delivered meals, including preparation; per meal | 5.6% | 52,442 | 3,937 | $621K |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 4.5% | 14,118 | 1,162 | $500K |
| T1020 | Help at home with daily living, billed per dayPersonal 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) | 2.6% | 136,230 | 5,292 | $284K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 1.6% | 1,542 | 1,479 | $174K |
| S5101 | Day care services, adult; per half day | <1% | 1,507 | 205 | $63K |
| A9279 | Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified | <1% | 488 | 488 | $24K |
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 officialBALTRAMAITIS, MARY (FISCAL MANAGER)