BLUE IRIS ADULT FOSTER CARE
NPI: 1780928663
· FALL RIVER, MA 02720
· Case Management Agency
· NPI assigned 11/16/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5140 with only 1 total codes billed. Highly concentrated billing profile.
$6.50M
Total Medicaid Paid
Provider Details
| Authorized Official | FONTANEZ, OMAYRA (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 11/16/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
868 |
$899K |
| 2019 |
899 |
$886K |
| 2020 |
960 |
$891K |
| 2021 |
807 |
$908K |
| 2022 |
11,962 |
$1.02M |
| 2023 |
11,370 |
$919K |
| 2024 |
11,493 |
$978K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5140 |
Foster care, adult; per diem |
38,359 |
3,054 |
$6.50M |