TUFTS MEDICAL CENTER PARENT INC
NPI: 1801832274
· BILLERICA, MA 01862
· Nursing Care Agency
· NPI assigned 06/22/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code S0342 with only 2 total codes billed. Highly concentrated billing profile.
$2.32M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
84 |
$9K |
| 2020 |
464 |
$70K |
| 2022 |
50 |
$254K |
| 2023 |
188 |
$1.04M |
| 2024 |
168 |
$943K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S0342 |
Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage |
406 |
358 |
$2.24M |
| S0317 |
Disease management program; per diem |
548 |
500 |
$80K |