Supplier
Umass Memorial Medical Center, INC.
Umass Memorial Medical Center, INC. was paid $202K by Medicaid between Jul 2020 and Jul 2024, across 7 billing codes. Its largest line is A4239, Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 60% of everything it billed.
33Billing provider infoUMASS MEMORIAL MEDICAL CENTER, INC.
WORCESTER, MA 01655
WORCESTER, MA 01655
33aNPI1831461086assigned 02/03/2012
33bProvider typeSpecialty Pharmacy
28Total paid$202K
24GClaims6,192
24DCodes billed7
24AFirst – last monthJul 2020 – Jul 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SMITH, BRIAN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2020 | 574 | $352.96 | |
| 2021 | 478 | $18K | |
| 2022 | 1,536 | $62K | |
| 2023 | 2,301 | $83K | |
| 2024incomplete | 1,303 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 60% | 3,590 | 3,556 | $122K |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 39% | 1,978 | 1,967 | $79K |
| K0554 | Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system | <1% | 36 | 36 | $757.38 |
| E2103 | Non-adjunctive, non-implanted continuous glucose monitor or receiver | <1% | 14 | 14 | $284.99 |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | <1% | 122 | 120 | $144.00 |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | <1% | 199 | 175 | $105.60 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | <1% | 253 | 241 | $103.36 |
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 officialSMITH, BRIAN (DIRECTOR, SPECIALTY PHARMACY)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.