Elder Services of Worcester Area, INC
Elder Services of Worcester Area, INC was paid $48.45M by Medicaid between Jan 2018 and Oct 2024, across 26 billing codes. Its largest line is S5130, homemaker services, billed per 15 minutes — 29% of everything it billed.
33Billing provider infoELDER SERVICES OF WORCESTER AREA, INC
WORCESTER, MA 01606
WORCESTER, MA 01606
33aNPI1689707770assigned 03/14/2007
33bProvider typeNutrition Education Nutritionist
28Total paid$48.45M
24GClaims730,282
24DCodes billed26
24AFirst – last monthJan 2018 – Oct 2024
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 | 115,706 | $6.40M | |
| 2019 | 127,853 | $7.54M | |
| 2020 | 114,056 | $7.14M | |
| 2021 | 100,367 | $6.52M | |
| 2022 | 90,063 | $6.38M | |
| 2023 | 101,809 | $8.15M | |
| 2024incomplete | 80,428 | $6.31M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 29% | 164,919 | 30,827 | $13.92M |
| 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) | 16% | 124,975 | 17,622 | $7.62M |
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 13% | 36,270 | 5,740 | $6.48M |
| S5170 | Home delivered meals, including preparation; per meal | 9.4% | 136,451 | 25,256 | $4.56M |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 8.1% | 15,067 | 2,773 | $3.93M |
| T2022 | Case management, per month | 6.7% | 60,463 | 57,175 | $3.23M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 6.4% | 43,525 | 8,243 | $3.10M |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 4.6% | 91,663 | 91,394 | $2.23M |
| S5120 | Chore services; per 15 minutes | 1.2% | 10,746 | 4,239 | $603K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 1.2% | 7,745 | 2,410 | $600K |
| G9001 | Coordinated care fee, initial rate | 1.1% | 5,129 | 5,093 | $512K |
| 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) | <1% | 8,319 | 8,211 | $442K |
14 more codes
| S5101 | Day care services, adult; per half day | <1% | 5,064 | $258K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 1,439 | $155K |
| A9279 | Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified | <1% | 5,782 | $147K |
| S5100 | Day care services, adult; per 15 minutes | <1% | 1,876 | $127K |
| S5165 | Home modifications; per service | <1% | 889 | $118K |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | <1% | 1,931 | $98K |
| T1001 | Nursing assessment / evaluation | <1% | 981 | $96K |
| H0046 | Mental health services, not otherwise specified | <1% | 3,814 | $92K |
| 96160 | <1% | 1,154 | $67K | |
| 99456 | <1% | 350 | $25K | |
| S5160 | Emergency response system; installation and testing | <1% | 626 | $19K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 895 | $16K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 47 | $6K |
| G9002 | Coordinated care fee, maintenance rate | <1% | 162 | $354.20 |
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 officialSWAN, LOUIS (EXECUTIVE DIRECTOR)