VICTORY PROGRAMS, INC.
NPI: 1770604472
· JAMAICA PLAIN, MA 02130
· Substance Abuse Rehabilitation Facility
· NPI assigned 04/02/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code H0019 with only 3 total codes billed. Highly concentrated billing profile.
$29.06M
Total Medicaid Paid
Provider Details
| Authorized Official | PORTER, SARAH (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 04/02/2007 |
Related Entities
Other providers sharing the same authorized official: PORTER, SARAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,720 |
$761K |
| 2019 |
12,144 |
$2.66M |
| 2020 |
3,048 |
$2.54M |
| 2021 |
1,538 |
$4.18M |
| 2022 |
2,032 |
$6.59M |
| 2023 |
1,958 |
$6.39M |
| 2024 |
2,043 |
$5.92M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |
27,112 |
8,714 |
$28.46M |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
4,127 |
273 |
$524K |
| H2016 |
Comprehensive community support services, per diem |
244 |
162 |
$76K |