Agency
Blue Iris Adult Foster Care
Blue Iris Adult Foster Care was paid $6.50M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is S5140, Foster care, adult; per diem — 100% of everything it billed.
33Billing provider infoBLUE IRIS ADULT FOSTER CARE
FALL RIVER, MA 02720
FALL RIVER, MA 02720
33aNPI1780928663assigned 11/16/2012
33bProvider typeCase Management Agency
28Total paid$6.50M
24GClaims38,359
24DCodes billed1
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Massachusetts
Rank by total paid#93 of 139
Median peer was paid$11.53M
This provider vs. median0.6×
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 S5140 with only 1 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 | 868 | $899K | |
| 2019 | 899 | $886K | |
| 2020 | 960 | $891K | |
| 2021 | 807 | $908K | |
| 2022 | 11,962 | $1.02M | |
| 2023 | 11,370 | $919K | |
| 2024incomplete | 11,493 | $978K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5140 | Foster care, adult; per diem | 100% | 38,359 | 3,054 | $6.50M |
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 officialFONTANEZ, OMAYRA (PROGRAM DIRECTOR)