Casa Esperanza, INC.

Casa Esperanza, INC. was paid $3.74M by Medicaid between Nov 2018 and Oct 2024, across 2 billing codes. Its largest line is 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 — 100% of everything it billed.

33Billing provider infoCASA ESPERANZA, INC.
ROXBURY, MA 02119

33aNPI1730654070assigned 10/12/2018

33bProvider typeAdult Mental Health Clinic/Center

28Total paid$3.74M

24GClaims29,415

24DCodes billed2

24AFirst – last monthNov 2018 – Oct 2024

Compared with peers

Next to other Adult Mental Health Clinic/Center providers in Massachusetts

Rank by total paid#4 of 20

Median peer was paid$222K

This provider vs. median17×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.

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	42	$20K
2019	7,723	$624K
2020	5,943	$592K
2021	6,528	$861K
2022	3,181	$504K
2023	5,139	$975K
2024incomplete	859	$165K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	100%	29,396	1,321	$3.74M
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	<1%	19	12	$1K

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 officialJACKSON, EVA (DIRECTOR REVENUE CYCLE MANAGEMENT)

Parent organizationCASA ESPERANZA, INC.

Same official

Other billing entities under JACKSON, EVA

Full network →

Provider	Location	Paid
Casa Esperanza, INC.	Roxbury, MA	$142K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.