Managed care
Southwest Boston Senior Services, INC.
Southwest Boston Senior Services, INC. was paid $65.67M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is S5130, homemaker services, billed per 15 minutes — 30% of everything it billed.
33Billing provider infoSOUTHWEST BOSTON SENIOR SERVICES, INC.
JAMAICA PLAIN, MA 02130
JAMAICA PLAIN, MA 02130
33aNPI1689708505assigned 03/15/2007
33bProvider typePoint of Service
28Total paid$65.67M
24GClaims469,461
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Point of Service providers in Massachusetts
Rank by total paid#1 of 19
Median peer was paid$1.04M
This provider vs. median63×
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 | 65,074 | $9.56M | |
| 2019 | 81,878 | $10.73M | |
| 2020 | 77,959 | $11.43M | |
| 2021 | 69,951 | $12.00M | |
| 2022 | 59,624 | $10.49M | |
| 2023 | 64,550 | $7.69M | |
| 2024incomplete | 50,425 | $3.78M |
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 | 30% | 103,607 | 20,283 | $19.90M |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 26% | 36,105 | 8,918 | $17.19M |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 12% | 24,111 | 6,348 | $8.07M |
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 5.2% | 3,275 | 829 | $3.39M |
| T2022 | Case management, per month | 5.1% | 58,854 | 58,261 | $3.32M |
| 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) | 5.0% | 18,050 | 3,448 | $3.29M |
| S5170 | Home delivered meals, including preparation; per meal | 4.9% | 127,137 | 16,600 | $3.22M |
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 3.2% | 11,463 | 1,761 | $2.08M |
| T2023 | Targeted case management; per month | 2.2% | 16,153 | 16,149 | $1.47M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 1.8% | 11,644 | 2,052 | $1.19M |
| S5175 | Laundry service, external, professional; per order | 1.3% | 27,115 | 8,383 | $852K |
| S5120 | Chore services; per 15 minutes | <1% | 4,477 | 1,405 | $513K |
13 more codes
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 19,140 | $487K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 2,174 | $232K |
| G9001 | Coordinated care fee, initial rate | <1% | 2,291 | $159K |
| S5165 | Home modifications; per service | <1% | 662 | $120K |
| T1016 | Case management, each 15 minutes | <1% | 683 | $64K |
| T1020 | Help at home with daily living, billed per day | <1% | 637 | $33K |
| 99456 | <1% | 277 | $28K | |
| S5121 | Chore services; per diem | <1% | 640 | $22K |
| S5101 | Day care services, adult; per half day | <1% | 288 | $15K |
| A9279 | Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified | <1% | 542 | $15K |
| 96160 | <1% | 112 | $6K | |
| H0046 | Mental health services, not otherwise specified | <1% | 12 | $522.00 |
| S5160 | Emergency response system; installation and testing | <1% | 12 | $508.56 |
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 officialMITCHELL, DALE (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Southwest Boston Senior Services, INC | Jamaica Plain, MA | $9.22M |
| Winters Joint Unified School District | Winters, CA | $116K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.