Agency
Mystic Valley Elder Services, INC.
Mystic Valley Elder Services, INC. was paid $222.95M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is G0156, Services of home health/hospice aide in home health or hospice settings, each 15 minutes — 38% of everything it billed.
33Billing provider infoMYSTIC VALLEY ELDER SERVICES, INC.
MALDEN, MA 02148
MALDEN, MA 02148
33aNPI1578683694assigned 03/30/2007
33bProvider typeCase Management Agency
28Total paid$222.95M
24GClaims999,397
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Massachusetts
Rank by total paid#24 of 139
Median peer was paid$11.53M
This provider vs. median19×
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 | 149,412 | $34.00M | |
| 2019 | 164,487 | $34.61M | |
| 2020 | 160,269 | $36.94M | |
| 2021 | 156,018 | $40.65M | |
| 2022 | 154,290 | $44.16M | |
| 2023 | 129,976 | $26.59M | |
| 2024incomplete | 84,945 | $6.00M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 38% | 23,503 | 8,456 | $84.10M |
| 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) | 33% | 166,503 | 30,892 | $73.26M |
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 9.5% | 8,392 | 2,522 | $21.18M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 8.6% | 211,973 | 40,314 | $19.15M |
| S5170 | Home delivered meals, including preparation; per meal | 4.4% | 356,557 | 49,297 | $9.76M |
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 1.7% | 18,625 | 2,991 | $3.86M |
| S5175 | Laundry service, external, professional; per order | 1.2% | 105,251 | 23,650 | $2.78M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | <1% | 19,984 | 4,039 | $2.18M |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | <1% | 21,567 | 4,753 | $2.15M |
| S5165 | Home modifications; per service | <1% | 5,452 | 5,182 | $1.36M |
| S5120 | Chore services; per 15 minutes | <1% | 9,728 | 2,899 | $1.17M |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 30,663 | 30,652 | $805K |
12 more codes
| T1020 | Help at home with daily living, billed per day | <1% | 5,081 | $219K |
| S5101 | Day care services, adult; per half day | <1% | 3,258 | $202K |
| T2022 | Case management, per month | <1% | 3,177 | $185K |
| T2023 | Targeted case management; per month | <1% | 1,662 | $166K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 1,690 | $150K |
| S5121 | Chore services; per diem | <1% | 3,350 | $145K |
| A9279 | Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified | <1% | 2,153 | $100K |
| S5100 | Day care services, adult; per 15 minutes | <1% | 383 | $20K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 202 | $8K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 206 | $5K |
| 99339 | <1% | 22 | $640.00 | |
| S5160 | Emergency response system; installation and testing | <1% | 15 | $597.20 |
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 officialHUBACZ, SEAN (DIRECTOR OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Mystic Valley Elder Services, INC. | Malden, MA | $23.97M |
| Mystic Valley Elder Services | Malden, MA | $893K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.