WEC HEALTH, LLC
NPI: 1639574635
· FRAMINGHAM, MA 01701
· Foster Care Agency
· NPI assigned 11/03/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5140 with only 2 total codes billed. Highly concentrated billing profile.
$126.41M
Total Medicaid Paid
Provider Details
| Authorized Official | KHALIL, KAYED (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 11/03/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
34,875 |
$4.11M |
| 2019 |
60,424 |
$7.12M |
| 2020 |
93,818 |
$11.51M |
| 2021 |
137,242 |
$17.35M |
| 2022 |
190,550 |
$24.85M |
| 2023 |
221,130 |
$30.32M |
| 2024 |
313,402 |
$31.15M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5140 |
Foster care, adult; per diem |
1,049,872 |
55,856 |
$126.01M |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
1,569 |
1,566 |
$404K |