Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Worcester › NPI 1689707770

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
33aNPI1689707770assigned 03/14/2007
28Total paid$48.45M
24GClaims730,282
24DCodes billed26
24AFirst – last monthJan 2018 – Oct 2024
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
2018115,706$6.40M
2019127,853$7.54M
2020114,056$7.14M
2021100,367$6.52M
202290,063$6.38M
2023101,809$8.15M
2024incomplete80,428$6.31M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)