COMMONWEALTH OF MASSACHUSETTS
NPI: 1811014905
· LOWELL, MA 01854
· Case Management Agency
· NPI assigned 03/23/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2023 with only 1 total codes billed. Highly concentrated billing profile.
$16.92M
Total Medicaid Paid
Provider Details
| Authorized Official | GILMORE, JOHN (SITE DIRECTOR) |
| NPI Enumeration Date | 03/23/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,453 |
$2.61M |
| 2019 |
2,568 |
$2.71M |
| 2020 |
2,615 |
$2.84M |
| 2021 |
2,746 |
$3.27M |
| 2022 |
1,423 |
$1.81M |
| 2023 |
1,189 |
$1.44M |
| 2024 |
1,869 |
$2.24M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
14,863 |
14,863 |
$16.92M |