COMMONWEALTH OF MASSACHUSETTS-DMH
NPI: 1710006051
· BROCKTON, MA 02302
· Community/Behavioral Health Agency
· NPI assigned 03/28/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code H2018 with only 2 total codes billed. Highly concentrated billing profile.
$208.02M
Total Medicaid Paid
Provider Details
| Authorized Official | DAILEY, RONALD (AREA OPERATIONS MANAGER) |
| NPI Enumeration Date | 03/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
79,874 |
$29.11M |
| 2019 |
87,025 |
$32.58M |
| 2020 |
102,724 |
$37.27M |
| 2021 |
105,671 |
$39.83M |
| 2022 |
51,590 |
$21.96M |
| 2023 |
47,530 |
$16.71M |
| 2024 |
70,519 |
$30.56M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2018 |
Psychosocial rehabilitation services, per diem |
528,191 |
95,500 |
$193.08M |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
16,742 |
2,924 |
$14.94M |