Agency
Royale Care
Royale Care was paid $48.94M 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 infoROYALE CARE
WORCESTER, MA 01604
WORCESTER, MA 01604
33aNPI1831463066assigned 03/06/2012
33bProvider typeHome Health Agency
28Total paid$48.94M
24GClaims272,366
24DCodes billed1
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Home Health Agency providers in Massachusetts
Rank by total paid#13 of 299
Median peer was paid$2.39M
This provider vs. median20×
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 | 5,174 | $4.60M | |
| 2019 | 5,420 | $6.45M | |
| 2020 | 6,996 | $8.00M | |
| 2021 | 6,173 | $7.63M | |
| 2022 | 69,689 | $7.00M | |
| 2023 | 93,486 | $7.92M | |
| 2024incomplete | 85,428 | $7.35M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5140 | Foster care, adult; per diem | 100% | 272,366 | 20,200 | $48.94M |
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 officialNDILLE, ROSE (CEO-ADMINISTRATOR)